Appendico-vesicostomy in the management of complex vesico-vaginal fistulae

Complex vesico-vaginal fistulae (VVFs) continue to complicated prolonged obstructed labour in this country. Recently a young lady presented to us with a huge VVF, associated with loss of the urethra and bladder neck, severe gynaetresia and recto-vaginal fistula. Her VVF was successfully managed by an appendico-vesiscostomy. Keywords: complex vesico-vaginal fistula, appendico-vesicostomy Nigerian Journal of Clinical Practice Vol. 9(1) 2006: 89-9

Twenty-one-year-old male with congenital anomalies, obstructive uropathy and chronic renal failure: Is this a case of townes Brocks syndrome?

Townes – Brocks syndrome is an autosomal dominant multiple malformations syndrome comprising of ear anomalies/hearing loss, limb defects, anal, genitourinary, eye, spine anomalies, heart defects and sometimes mental retardation. This report presents the case of a 21-year-old secondary school leaver as a likely case of Townes-Brocks syndrome. He was born with congenital abnormalities consisting of fixed flexion deformities of hands, wrist and elbows, urethral meatal stenosis, scoliosis and aortic stenosis. He was diagnosed with obstructive uropathy at the age of 19 years and subsequently developed chronic renal failure. The report aims to highlight the need for early recognition of potentially preventable conditions, which, if left unattended to, can lead to unnecessary fatality. Nigerian Journal of Clinical Practice Vol. 10 (1) 2007: pp.91-9

Bilateral scrotoschisis with crossed ectopy of the right testis

Vincent C Onuora,1 Eshiobo Irekpita,1 Ugochukwu Alili,1 Agbomherele Ajekweneh,2 Ihuoma N Amaechi11Urology Unit, Department of Surgery, 2Department of Obstetrics and Gynaecology, Irrua Specialist Teaching Hospital, Irrua, Edo State, NigeriaAbstract: Scrotoschisis is an uncommon congenital anomaly in which the testis descends to an extracorporeal position through a defect in the scrotum. Bilateral scrotoschisis is extremely rare. We present a case of a 16-hour old neonate who was referred to our centre with both testes protruding through a defect in the left hemiscrotum.Keywords: bilateral scrotoschisis, crossed testicular ectop