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
Colworths medical centre, Port Harcourt, Rivers State, Nigeria.
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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Journal Name : citation_journal : Greener Journal of Medical Sciences
