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BACKGROUND Open prostatectomy for benign prostate hyperplasia (BPH) is widely practiced in Ghana and Africa. Some of the reasons include lack of expertise and facilities for Transurethral Resection of the Prostate (TURP) and digital rectal examination assessment of prostates as greater than 50 grams. OBJECTIVES To assess the prostate volumes of patients(More)
Retrocaval ureter also referred to as pre-ureteral vena cava is a rare congenital anomaly with the ureter passing posterior to the inferior vena cava. Though it is a congenital anomaly, patients do not normally present with symptoms until the 3rd and 4th decades of life from a resulting hydronephrosis. We present the first two cases to be reported in Ghana;(More)
We report a case of a 37-year-old male who presented with a 12-hour history of a strangulating 2cm wide by 0.8 cm thick metallic nut on the penile shaft at the peno-scrotal junction. Unlike instances where these metallic objects are placed to enhance sexual stimulation this nut was rather placed to prevent intercourse. A Bosch electric circular grinder was(More)
Twenty cases of Priapism were managed surgically over a 3-year period with the A1-Ghorab modification of the caverno-glandular shunt. The procedure was simple and short. Except for post-operative bleeding in 2 patients, no major complications were encountered. Post-operative potency rate of 39 per cent was achieved. Late presentation and repeated previous(More)
OBJECTIVE To determine the frequency and pattern of genitourinary malignancies seen at the Korle-Bu Teaching Hospital, Accra, Ghana MATERIALS AND METHODS A retrospective review of genitourinary malignancies seen at the Korle-Bu Teaching Hospital from 1980 to 1990 was undertaken. Data was obtained from the operating theatre register, histopathology(More)
Over the 15-month period beginning from October 1985, internal optical urethrotomy was successfully performed under local anaesthesia on 51 patients with urethral stricture. The procedure was well tolerated and 48 patients were discharged home on the day of operation. A urethral catheter (18 or 20F Foley) was left indwelling for one week post-operatively.(More)
Introduction Africans living with prostate cancer in Africa face problems of early diagnosis and appropriate treatment. Aim To study the clinical incidence of prostate cancer, risk factors, TNM stage, their management and outcomes. Methods A prospective study of Prostate Cancer cases managed at Korle Bu Teaching Hospital and hospitals in Accra,(More)
BACKGROUND Iatrogenic bilateral ureteric injury is a rare complication of pelvic surgery, which if not recognised immediately results in significant morbidity and even mortality OBJECTIVE To describe the presentation, aetiology and treatment of iatrogenic bilateral ureteric injuries recognised late following gynaecological surgery. METHODS The case(More)
Fifty-one patients with newly diagnosed upper urinary tract stones were seen at the Korle Bu Teaching Hospital, Accra over an 8 years period from September 1985 to August 1993. Their mean age was 40.1 years (range 20-61 years). The sex ratio was 36 males to 15 males. During the same period 3, 217, 135 patients (both adults and children) attended the(More)
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