Spectrum of endo-urological procedures performed at a Nigerian kidney transplant centre

Igbokwe Martin1*, Abu Sadiq1, Aremu Abayomi1, Olatise Olalekan2, Okafor Monica1
1Urology Division, Zenith Medical and Kidney Centre, Abuja, Nigeria.
2Nephrology Unit, Zenith Medical and Kidney Centre, Abuja, Nigeria.
*Correspondence: Dr. Igbokwe Martin; +234 803 402 4229; martini4life@yahoo.com, martin.igbokwe@npmcn.edu.ng

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Background: The practice of endo-urology has become a significant component and standard for urological care worldwide. Using minimal access and miniaturized instruments, complex procedures can be safely executed with reduced morbidity and overall patient satisfaction. Kidney transplantation (KT) remains the gold-standard for renal replacement therapy for patients with chronic kidney disease and its practice in sub-Saharan Africa and Nigeria has been on the rise in the past decade. KT programs must be adequately equipped for endo-urological services as they are crucial to the pre- and post-transplant care of these patients.
Objective: To determine the spectrum of endo-urological procedures carried out at a Nigerian kidney transplant centre.
Materials and Methods: A retrospective review of all endo-urological procedures carried out between January 2019 and June 2020 (18 months) was done. Data were analysed using SPSS version 23.
Results: Diagnostic cystoscopies (9, 3.5%), cystoscopy with the removal of double J stents (183, 71.8%), trans-urethral resection of the prostate (20, 7.8%) and stone surgeries (21, 8.3%) accounted for a significant proportion of endo-urological surgeries performed during this period. A significant majority of these procedures were performed on post-transplant patients.
Conclusion: There is a need for endo-urological treatment of both pre- and post-kidney transplant patients in every kidney transplant program. The modern urologist must possess this skill-set to align with the ever-changing medical trends and provide patients with the best possible outcome.

Keywords: Endo-urology, Kidney transplantation, Sub-Saharan Africa, Nigeria.
Yen Med J. 2020;2(4):74 – 79.

Cite this article: Igbokwe M, Abu S, Aremu A, Olatise O, Okafor M. Spectrum of endo-urological procedures performed at a Nigerian kidney transplant centre. Yen Med J. 2020;2(4):74 – 79.


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