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Omodu and Okengwu

Greener Journal of Medical Sciences

Vol. 11(1), pp. 90-93, 2021

ISSN: 2276-7797

Copyright ©2021, the copyright of this article is retained by the author(s)

https://gjournals.org/GJMS

 

 

 

 

 

 

Improvisation in lower urinary tract endourology: Colworths experience

 

 

Omodu OJ; Okengwu C

 

 

Colworths medical centre, Port Harcourt, Rivers State, Nigeria.

 

 

ARTICLE INFO

ABSTRACT

 

Article No.: 043021044

Type: Research

 

 

Introduction: Lower urinary tract endourology is very rapidly advancing in the developed countries, but the reverse is the case in the developing countries where the cost of setting up and purchase of consumables are very expensive.

Aim: To encourage the use of locally available materials as improvisation to perform the surgeries.

Patients and methods: A prospective study of all endourological procedures carried out at Colworths medical center between November 2012 and June 2017. Information obtained includes age, gender, diagnosis, procedure, duration of surgery, prostate size and complications were analyzed. Improvised materials include ordinary television set, drip stand, kitchen sieve, water dispenser and feeding bottle, mobile phone and selfie stick.

Results: During the study, 206 endoscopic procedures were performed on 103 patients with age range of 3 to 89 years with mean age of 66.99. There were 98 males and 5 females. Initial cystoscopies were performed for all the 103 patients. 53 transurethral resection of the prostate (TURP), 5 transurethral resection of the bladder tumour, 19 direct vision internal urethrotomy (DVIU),15 channelization of the prostate, 2 bladder clot evacuations, 1 double J stent insertions and 1 bladder neck incision were all performed.

One case of DVIU was abandoned due to bleeding and two cases of DVIU stopped due to false passage. There was however no mortality. 

Conclusion: Lower urinary tract endourology is regularly performed despite the hitches in replacing consumables and damaged instruments The use of locally available materials to improvise has enabled the procedure to proceed with satisfactory results.

 

Accepted:  01/05/2021

Published: 29/05/2021

 

*Corresponding Author

Omodu OJ

E-mail: gidaug@ yahoo.com

 

Keywords:

Improvisation; endourology; materials

 

 

 

 

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REFERENCES:

 

1: IMPROVISATION. Definition in the Cambridge English Dictionary. Dictionary.cambridge.org.2018

 

2: Omodu JO, Iyeneomie I. Endourology: A single centre experience in port harcourt, Rivers state. Int J Recent Sci Res 2019;10:36100-36102

 

3: Moorthy HK, Philip S. TURP syndrome-current concepts in the pathophysiology and management. Indian Journal of Urology. 2001 Jan 1;17(2):97.


4: Ousmane Sow, Abdoulaye Ndiath, Aboubacar Traore, Alioune Sarr. Diagnostic Rigid Urethrocystoscopy: Indications, Results and Pain Assessment. Open Journal of Urology.2020;10(08):239-244.


5: Ramai D, Zakhia K, Etienne D, Reddy M. Philipp Bozzini (1773-1809): The earliest description of endoscopy. J Med Biogr.2018;26(2):137-141

 

6: Her HW, Maz Nitze, the cystoscopy and urology. J Urol.2006;176(4pt1):1313-6

 

7: Omodu OJ, Akah C. Hysteroscopic scissors, a useful tool in endoscopic treatment of posterior urethral valves: A single centre experience, International journal of innovative medicine and health science 2020;12:14-18. ISSN:2056-9866

 

8: C.G Fowler. Fiberoscope urethrocystoscopy., British journal of urology,1984;56(3):304-307

 

9: Omodu OJ, Iyeneomie Igah. Endourology: A single centre experience in Port Harcourt, Rivers State, Nigeria. Int J Recent Sci Res. 2019;10(11): 36100-36102.ISSN 0976-3031

 

 


Cite this Article: Omodu OJ; Okengwu C (2021). Improvisation in lower urinary tract endourology: Colworths experience. Greener Journal of Medical Sciences, 11(1): 90-93.

 

 

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