Surgical Management of Prepubertal Urethral Prolapse: A report of 3 cases.

Background: Urethral Prolapse is rare but a differential diagnosis of interlabial masses in prepubertal females. It usually presents with vaginal bleeding and may heighten the suspicion of sexual abuse.Methods: Our series of 3 cases all presented with vaginal bleeding and all had primary surgical excision of the prolapsed urethral mucosa.Results and Conclusion: Surgical management is definitive and should be considered as the first line treatment in our environment.Parents, caregivers and medical personnel in our environment should be able to identify and recognise it

Wilms’ Tumour: Experience in a Developing Tertiary Centre in Nigeria

Background: Children with Wilms’ tumour present early in the developed countries with correspondingly good prognosis. The same however is not true in the developing countries where the patient present rather late. This study evaluates the impact of late presentation on the management of childhood Wilms’ tumour in our environment. Methods: This was a retrospective study of children aged 0-15 years managed for Wilms’ tumour from January 2004 to April 2010 in a Teaching Hospital in South Western Nigeria. Results: Thirty five patients that had nephroureterectomy for Wilms’ tumour with a histological confirmation were included in this study. One child had a Stage 1 disease, 9 had Stage II disease, 20 had Stage III disease, 4 had Stage IV disease and 1 child had a bilateral lesion (Stage V). Five (14.28%) patients have completed their chemotherapy and survived without clinical and radiological evidence of recurrence for a period equal to their age at diagnosis plus 9 months (Cullen’s law). Therefore they have been deemed cured. Ten patients were lost to follow-up. Others are on various phases of their chemotherapy, 2 patients had Adriamycin cardiomyopathy. There were 6 (17.14%) deaths. Conclusion: Childhood Wilms’ tumour presents late in our setting with its consequent management challenges. The need to educate the populace and the primary healthcare providers on the benefits of early diagnosis and treatment of this condition cannot be overemphasized.East and Central African Journal of Surgery. 2011 Nov/ December;16 (3

Penile Injuries In Lagos State University Teaching Hospital Ikeja: A 7-year Experience

Background: Injuries to the penis are not frequent events and usually not life threatening. However, they may be associated with significant  long term psychological and functional impairment. This study elucidates the clinical spectrum of penile injuries in the Lagos State University Teaching Hospital and how they were managed.Methods: This was a 7-year retzrospective study of all cases of penile injury managed in the Urology unit of a teaching hospital in South West Nigeria; between February 2006 and January 2012.Results: There were 50 cases of penile injury, with the age range between 4 weeks to 49 years and an average age of 12.1 years. Circumcision and sex-related causes accounted for 76% and 18% of the injuries respectively, while occupation and ritual-related causes accounted for 2% each. Urethro-cutaneous fistula (n=22, 44%), penile fracture (n=9, 18%) and penile amputation (n=5,10%) were the commonest injury types. All the cases were managed operatively.Coculusion: Circumcision was the leading cause of penile injury in this study. Mass education of all categories of circumcisers on safe circumcision practices would be desirable