An association between diet, metabolic syndrome and lower urinary tract symptoms

Diet is a key factor in the aetiology of many diseases, including metabolic syndrome and lower urinary tract disorders. Metabolic syndrome is a growing and increasingly expensive health problem in both the developed and the developing world, with an associated rise in morbidity and mortality. On the other hand, lower urinary tract symptoms affect millions of individuals worldwide, lowering their quality of life. Associations have been established between both conditions in existing literature and the various components of the metabolic syndrome have been linked with the onset and aggravation of symptoms in various forms of LUTS. This current review explores the relationships between these in detail, focusing on their inter-relationships particularly vis-a-vis dietary macronutrient and micronutrient intake

Day case endourology in surgical outpatient clinic at Ibadan: A 5 year review

Objective: To review our day case endourological practice over a five-year period. Subjects and methods: Data was obtained from the endourology day case register and these were analysed using simple statistical methods. Caudal anaesthesia and intravenous sedatives were used for the procedures. Results: A total of 559 patients underwent endoscopic procedures as day cases. Their ages ranged from 10 to 88 years, with a male to female ratio of 4 to 1. Four hundred and thirty eight (78.4%) were diagnostic and 121 (21.6%) were therapeutic. The main diagnostic procedures were urethrocystoscopy (n = 222), and cystoscopy alone (n = 116), cystoscopy and biopsy (n = 46) while the therapeutic procedures were direct visual internal urethrotomy (n = 86), endoscopic cystolitholapaxy (n = 10), and rigid retrograde endoscopic realignment (n = 7) for posterior urethral injury. The main anaesthesia was caudal block in 472 patients and topical 2% xylocaine jelly with sedation in 86 patients. Conclusions: There is a steady increase in therapeutic day case endourology. Caudal anaesthesia provides effective pain free procedure to the patient. Surgical trainees can benefit by learning the technique of caudal block anaesthesia

The UCH bladder manikin – A locally designed teaching aid for suprapubic catheterization in low-resource countries

Introduction and objectives: The ability to perform emergency open or percutaneous suprapubic catheterization (SPC) is an indispensable skill in medical practice. In Nigeria, the majority of the general medical practitioners and non-urological residents lack formal training in SPC. A low-cost manikin was designed to train such doctors. This paper describes the development of the manikin and assesses its usefulness in teaching SPC. Methods: The Ibadan PIUTA (Pan African Urological Surgeons Association [PAUSA] Initiative for Urological Training in Africa) Centre organized a workshop during which general medical practitioners and non-urological residents were taught SPC using the locally manufactured manikin. At the end, the effectiveness of the manikin in SPC training was assessed using questionnaires. Six months later, the questionnaires were distributed again to the surgical residents to evaluate the impact of the training on their practice. Results: Twenty-five medical practitioners attended the workshop. The open and closed techniques were taught using the manikin. By the end of the workshop, 100% of the participants stated that the manikin was an effective teaching aid. Six months later, 67% of the surgical residents had independently performed successful SPCs, using the percutaneous technique alone (83%) or both the open and percutaneous methods (17%). Conclusion: The UCH bladder manikin is an effective, low-cost and easily manufactured aid for teaching doctors emergency SPC. We recommend its use in centers in low-resource countries