Exploring foci of
2021-01-01
Transperineal Anastomotic Urethroplasty for Pelvic Fracture Urethral Distraction Defects
2021-01-01 • IC Akpayak, SI Samaila, JB Jacob
Background: Currently, transperineal anastomotic urethroplasty approach is the reference standard in the surgical reconstruction of pelvic fracture urethral distraction defects. The approach is suitable for all but the most complex cases which might require abdominoperineal approach. Aims: We reviewed our recent experience with transperineal anastomotic urethroplasty with respect to success rate and complications. Patients and Methods: This was a retrospective descriptive study carried out at Jos University Teachi…
Exploring foci of
2020-01-01
Early versus delayed foley catheter removal after transurethral resection of the prostate
2020-01-01 • IC Akpayak, SI Shuaibu, VE Onowa, CA Agbo
Background Time of removal of the urethral catheter varies after the TURP. While some urologists remove the catheter on day 1 or 2 after TURP, most wait for 4-7 days before removing the catheter. The keeping of a urethral catheter for 4-7 day may require that the patient stays in the hospital for that duration of time to have the catheter removed before he goes home. The delayed catheter removal, therefore, may prolong hospital stay. There is no data from our environment on when to remove the catheterafter TURP. T…
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Exploring foci of
2017-01-01
Monopolar transurethral resection of the prostate for benign prostatic hyperplasia: What are the outcomes and complications in our patients?
2017-01-01 • IC Akpayak, SI Shuaibu, VE Onowa, L.E. Nabasu, ZZ Galam
BACKGROUND: Transurethral resection of the prostate (TURP) is the current gold standard for the operative management of symptomatic Benign prostatic hyperplasia (BPH) and has excellent long term efficacy. Currently there is a gradual shift towards bipolar TURP and Holmium enucleation of the prostate (HoLEP) due to fear of complications, particularly transurethral resection (TUR) syndrome associated with monopolar TURP. However, bipolar generator and high powered holmium laser resectoscpe remain very expensive and …
Exploring foci of
2017-01-01
Comparison of two different ways of passing urethral catheter after transurethral resection of the prostate
2017-01-01 • IC Akpayak, SI Shuaibu, VE Onowa, CA Agbo
OBJECTIVES: To determine and compare the rate of success of two methods of passing urethral catheter following TURP using silicone Foley catheter: passing the urethral catheter with introducer into an empty bladder and passing the catheter without introducer into bladder filled with normal saline. PATIENTS AND METHODS: This was a prospective study carried out between October, 2013 and November,2016 on 64 patients. Patients who had TURP for BPH where divided into 2 groups based on method of passing urethral cathete…
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Exploring foci of
2016-01-01
Knowledge and practice of prophylaxis of deep venous thrombosis: A survey among Nigerian surgeons
2016-01-01 • Kesieme Eb, BJ Arekhandia, IM Inuwa, IC Akpayak, Ekpe EE, OA Olawoye, Abubakar Umar, NS Awunor, E. C. Amadi, IJ Ofoegbu
There is a deficiency in the knowledge and practice of DVT prophylaxis among surgeons in Nigeria. There is a need to improve both the knowledge and practice by introducing institutional guidelines or protocol for DVT prophylaxis for surgical patients.
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