Value of the visual prostate symptom score in evaluation of symptomatic benign prostatic enlargement: prospective study in a Nigerian population

Background: To evaluate the correlation of Visual Prostate Symptom Score (VPSS) with International Prostate Symptom Score (IPSS) and Maximum Urinary Flow (Qmax). To investigate the effect of educational level on the ability to independently complete the VPSS versus the IPSS and time taken to do so.Methods: Bio data was taken from men with lower urinary tract symptoms (LUTS) due to Benign Prostatic Enlargement (BPE) who presented at the Urology clinic of Jos University Teaching Hospital. They were administered the IPSS questionnaire and VPSS pictogram, which they completed with or without physician assistance and the time taken to do so was noted. They subsequently had uroflowmetry done on same visit and the data was recorded in a structured proforma. Statistical analysis was done using SPSS(R) version 20. Correlation test was done for VPSS, IPSS and Qmax while the paired t-test was used for the average time spent in completing both questionnaires. A p-value <0.05 was considered as significant.Results: Eighty-five men (aged 42 to 94 years) were enrolled in the study. The VPSS correlated significantly with the IPSS in terms of total score (r = +0.684, p<0.001) and QoL (r = +0.570, p<0.001), as well as with the Qmax (r = -0.222, p = 0.041). A greater proportion (21.2%) of men with limited education could complete the VPSS without physician assistance as compared to the IPSS (6.0%) and the average time taken to complete the VPSS (170.51 seconds) was significantly shorter than the time taken to complete the IPSS (406.42 seconds).Conclusions: The VPSS correlates significantly with the IPSS and Qmax. It can be completed without physician assistance by a greater proportion of men with limited education within a shorter time period

Male Urethral Stricture: Aetiology and Location

No Abstract

Penile Fractures in North Central Region of Nigeria

Background: Penile fracture is defined as a rupture of the tunica albuginea of the corpus cavernosum as a result of blunt trauma to an erect penis. Objectives: To study the aetiological factors, presentation, site of injury, treatment, as well as the treatment outcome of all patients that presented to us with penile fracture . Methodology: Data were obtained retrospectively from the patients’ clinical records from three centres: Benue State University Teaching Hospital, Urodiagnostic Specialist Centre and Federal Medical Centre, all in Makurdi, North Central Nigeria over a five year period (January 2012 to December, 2016). The bio-data, aetiological factors, time of presentation, site of injury, treatment given and outcome of treatment were analysed. Results: Six patients with median age of 39yrs were seen within the study period. Coitus with the woman on top was the precipitating factor in four patients. The time interval from injury to presentation ranged from 12 – 72hours. The classical presentation was noted in all patients. Five patients had surgical exploration. All injuries were in the mid shaft of the corpora cavernosa with the right side affected in three patients. Average hospital stay was 4 days. All patients had full erection at three months post exploration, however one patient reported penile deviation. Conclusion: The outcome of penile fracture following surgical repair was good.Keywords: Penis, Penile rupture, Trauma, Coitus, Penile reconstruction, Phallic injuries

Intra-vesical explosion during transurethral resection of the prostate for benign prostatic hyperplasia

Intra-vesical explosion is a very rare complication of Transurethral Resection of the Prostate (TURP). It could lead to different grades of bladder injury ranging from mucosal tears to bladder rupture. We report a case of Intra-vesical explosion with bladder injury that was managed non-operatively. A 67 year old man with 2 year history of severe Lower Urinary Tract Symptoms (LUTS) due to Benign Prostate Hyperplasia (BPH) presented to our hospital. He was scheduled for TURP on account of failed medical treatment. During the operation, a loud explosion occurred. Cystoscopy revealed a partial thickness mucosal tear at the dome of the bladder. He was managed non-operatively by continuous bladder drainage. Although intra-vesical explosion is a rare complication of TURP, its recognition, determination of appropriate bladder injury and institution of appropriate treatment are essentials to forestall further complications to the patient.Keywords: BPE, Explosive gases, Cystoscopy, Exploration, Bladder injur