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Biomedical subjects

I O Ntia

Publications and source records attributed to I O Ntia.

4 recordsLinked to original sources

Excretory urography before prostatectomy.

A study of the pre-operative excretory urograms of 205 patients who had prostatectomy for benign prostatic hyperplasia, over a 5-years period is presented. Seventy-four per cent (74.1%) of the urographic abnormalities were a direct result of prostatic enlargement found on clinical examination. The significant upper tract abnormalities found in 11.0% of the cases were duplex kidneys (3.4%), poor renal excretion (3.8%) and small kidneys (3.8%). None of these was a contraindication to prostatectomy when the blood urea and creatinine levels became normal. No upper tract tumour nor calculus was found in these patients. We conclude that, for the management of patients presenting with urinary retention from BPH, routine pre-operative excretory urography has little or no value and is not worth the expense and delay.

Aged↗

Synchronous suprapubic prostatectomy and inguinal herniorrhaphy.

Synchronous suprapubic prostatectomy and inguinal herniorrhaphy were performed on 12 patients who presented with benign prostatic hypertrophy and concurrent inguinal hernia(s). The results of these were compared with those of 12 other (control) patients, matched for age, who presented with benign prostatic hypertrophy only and who had suprapubic prostatectomy by the same surgical team under similar operative conditions. The results showed that while the additional herniorrhaphy increased the operating time by 30 min and increased the mean blood loss by 250 ml, it did not carry any other significant morbidity. This approach eliminates multiple hospitalisation and operations, multiple anaesthesia and prolonged catheterisation, and lowers the high cost of hospitalisation.

Aged↗

One-stage penile cutaneous island flap repair for hypospadias in circumcized patients.

Routine circumcision of infants, even those with congenital hypospadias, still takes place in some parts of the world. Hypospadias repair in such patients is difficult. We describe our recent experience with a one-stage transverse penile cutaneous island flap repair of congenital hypospadias in 16 circumcized patients. In all patients the graft took. There were only 2 cases of urethrocutaneous fistulae and these were easily closed with rotation flap. Functional and cosmetic results were judged as good in 81% and fair in the rest. There were no repair failures.

Adolescent↗

Bowel prolapse through perforated uterus following induced abortion.

Between 1991 and 1998, there were nine cases of uterine perforation following induced abortion with prolapse of the bowel out of the introitus, managed at Usmanu Danfodiyo University Teaching Hospital, Sokoto. Non-physicians caused the injury in six cases. Interval between instrumentation and presentation ranged from 5 to 14 days. In all the cases, there was already necrosis of the involved bowel. The ileum was the most commonly involved bowel (6 cases; 67%) while the uterine injury was on the fundus most of the time (7 cases; 78%). Resection and anastomosis with uterine repair was the surgical procedure in all the cases. There were 3 cases of anastomotic leakage but no mortality. We do encounter major complications of induced abortion in our center. Apart from preventive measures against unwanted pregnancies, access to safe abortions by trained personnel might minimize this type of complication.

Abortion, Illegal↗