l am a male Urological Surgeon. I work as a Professor of Surgery (Urology) at the Nnamdi Azikiwe University, Nnewi Campus, Nnewi, Nigeria, and as a Consultant Urologist at the Nnamdi Azikiwe University Teaching Hospital, also at Nnewi, Nigeria. I hold the Fellowship of the National Postgraduate Medical College of Nigeria in surgery (FMCS), West African College of Surgeons (FWACS), International College of Surgeons (FICS), International Society of Surgery (FISS), and Institute of Health Educators of Nigeria (FIHEN). I am a member of the Nigerian Association of Urological Surgeons (NAUS), Societe International d' Urologie (SIU), and the European Association of Urology (EAU).
Malignant renal tumour is the third commonest urological tumour after prostate and bladder cancer... more Malignant renal tumour is the third commonest urological tumour after prostate and bladder cancer. It is however the urological tumour with the highest mortality/incidence ratio. To review the frequency, mode of presentation and histological pattern of patients with malignant renal tumours in Nnamdi Azikiwe University Teaching Hospital. A 7 year retrospective review of all our renal tumour folders in theinstitution. 19 patients qualified for the study with a male/female ratio of 1:2.8 and a mean age of 52.6 +/- 15.8 years. The peak age was in the seventh decade. Most patient present late (78.9%). Renal cell cancer was the commonest tumour type with the commonest mode of presentation being abdominal mass and pain. Malignant renal tumours present very ate in our environment and patients hesitate in accepting available treatment option which is surgery. There is need for increased patient awareness and high index of suspicion by the clinician, particularly during imaging procedures, as...
Ectopic breast tissues are subject to the similar physiological and pathological alterations seen... more Ectopic breast tissues are subject to the similar physiological and pathological alterations seen in breast tissues situated in their normal anatomical positions. We report a 34-year old multiparous woman who presented with a right axillary lump of about 1 year duration, for which clinical impression of axillary lymphadenopathy was made and lumpectomy carried out. Histology of excised lump revealed fibroadenoma. We discussed possible pathogeneses and consequences of this lesion.
To study postorchiectomy anaemia in black Nigerian patients who had bilateral orchiectomy for adv... more To study postorchiectomy anaemia in black Nigerian patients who had bilateral orchiectomy for advanced carcinoma of the prostate. Anaemia has been observed in similar studies done on Caucasians and non-black patients in non-tropical environments Consecutive patients with advanced carcinoma of the prostate who were managed by the authors over a four-year period, and who were treated with bilateral orchiectomy were prospectively studied. They also satisfied the set criteria for inclusion in the study. Thirty-six patients were studied. The mean age was 71 years (SD = 7.6). Preoperative white blood cell count with blood film examination, and serum urea and creatinine were within normal limits and remained so for the duration of the study. The mean value of the haemoglobin concentration dropped significantly from 11.9 g/dl to 10.1 g/dl at six months (p < 0.005). The prostate specific antigen decreased from a mean preoperative value of 62.2 ng/ml (SD = 58.6) to a mean postoperative nad...
To report and discuss the characteristics of genitourinary tuberculosis as observed in a sub-Saha... more To report and discuss the characteristics of genitourinary tuberculosis as observed in a sub-Saharan African setting, where reports suggest its rarity despite reported high incidence and prevalence of pulmonary tuberculosis. Thirty one consecutive patients with discharge diagnoses of genitourinary tuberculosis seen in a small community-based hospital over a five-year period were retrospectively studied. There were 28 males and three females, with a mean age of 37.6 (SD 11.5) years. Forty- three sites were involved in seven organs: epididymis 25 (58.1%), kidney 7 (16.3%), testis 4 (9.3%), bladder 3 (7.0%), ureter 2 (4.7%), prostate 1 (2.3%), and cord of the testis 1 (2.3%). The commonest presenting features were scrotal/testicular mass with or without pain/tenderness (80.6%), fever/headache (51.6%), and dysuria (22.6%). Other common features were back, loin, or abdominal pain/tenderness. hydrocoele, scrotal abscess, and haematuria. 26.9% had evidence of concurrent or previous pulmona...
A case is presented of a combined intrauterine and extrauterine gestation. The diagnosis of the e... more A case is presented of a combined intrauterine and extrauterine gestation. The diagnosis of the ectopic pregnancy was made intraoperatively with a pre-operative diagnosis of a simple intestinal obstruction, while the intrauterine pregnancy was diagnosed after a spontaneous abortion. A family history of twinning associated with a surgical evidence of chronic inflammatory disease is thought to be the cause.
www.ees.elsevier.com/afju www.sciencedirect.com Male genital injuries caused by ritual attacks in... more www.ees.elsevier.com/afjuwww.sciencedirect.com Male genital injuries caused by ritual attacks in Nigeria:
Background: To have a re-look at the common non-urological features of prostate cancer with a vie... more Background: To have a re-look at the common non-urological features of prostate cancer with a view of determining if the non-urological presenting symptoms in patients with carcinoma of the prostate are of any significance or use as applicable indices in their management, especially in developing countries. Method: Twenty-seven patients with carcinoma of the prostate and twenty patients with benign prostatic enlargement presenting over a five-year period were studied. From the data on both groups of patients, the sensitivities, specificities, predictive values, and usefulness indices of the non-urological symptoms of carcinoma of the prostate were determined. Result: The commonest non-urological symptoms of carcinoma of the prostate were constipation, pedal oedema, weight loss, waist pain, abdominal pain/discomfort, generalized body weakness, and inability to walk. All the symptoms were of relatively poor sensitivity and negative predictive value, but specificity and positive predic...
A case is presented of a combined intrauterine and extrauterine gestation. The diagnosis of the e... more A case is presented of a combined intrauterine and extrauterine gestation. The diagnosis of the ectopic pregnancy was made intraoperatively with a pre-operative diagnosis of a simple intestinal obstruction, while the intrauterine pregnancy was diagnosed after a spontaneous abortion. A family history of twinning associated with a surgical evidence of chronic inflammatory disease is thought to be the cause.
OBJECTIVE To study postorchiectomy anaemia in black Nigerian patients who had bilateral orchiecto... more OBJECTIVE To study postorchiectomy anaemia in black Nigerian patients who had bilateral orchiectomy for advanced carcinoma of the prostate. Anaemia has been observed in similar studies done on Caucasians and non-black patients in non-tropical environments MATERIALS AND METHODS Consecutive patients with advanced carcinoma of the prostate who were managed by the authors over a four-year period, and who were treated with bilateral orchiectomy were prospectively studied. They also satisfied the set criteria for inclusion in the study. RESULT Thirty-six patients were studied. The mean age was 71 years (SD = 7.6). Preoperative white blood cell count with blood film examination, and serum urea and creatinine were within normal limits and remained so for the duration of the study. The mean value of the haemoglobin concentration dropped significantly from 11.9 g/dl to 10.1 g/dl at six months (p < 0.005). The prostate specific antigen decreased from a mean preoperative value of 62.2 ng/ml ...
OBJECTIVE To report and discuss the characteristics of genitourinary tuberculosis as observed in ... more OBJECTIVE To report and discuss the characteristics of genitourinary tuberculosis as observed in a sub-Saharan African setting, where reports suggest its rarity despite reported high incidence and prevalence of pulmonary tuberculosis. PATIENTS AND METHOD Thirty one consecutive patients with discharge diagnoses of genitourinary tuberculosis seen in a small community-based hospital over a five-year period were retrospectively studied. RESULT There were 28 males and three females, with a mean age of 37.6 (SD 11.5) years. Forty- three sites were involved in seven organs: epididymis 25 (58.1%), kidney 7 (16.3%), testis 4 (9.3%), bladder 3 (7.0%), ureter 2 (4.7%), prostate 1 (2.3%), and cord of the testis 1 (2.3%). The commonest presenting features were scrotal/testicular mass with or without pain/tenderness (80.6%), fever/headache (51.6%), and dysuria (22.6%). Other common features were back, loin, or abdominal pain/tenderness. hydrocoele, scrotal abscess, and haematuria. 26.9% had evide...
Ectopic breast tissues are subject to the similar physiological and pathological alterations seen... more Ectopic breast tissues are subject to the similar physiological and pathological alterations seen in breast tissues situated in their normal anatomical positions. We report a 34-year old multiparous woman who presented with a right axillary lump of about 1 year duration, for which clinical impression of axillary lymphadenopathy was made and lumpectomy carried out. Histology of excised lump revealed fibroadenoma. We discussed possible pathogeneses and consequences of this lesion.
Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria
Malignant renal tumour is the third commonest urological tumour after prostate and bladder cancer... more Malignant renal tumour is the third commonest urological tumour after prostate and bladder cancer. It is however the urological tumour with the highest mortality/incidence ratio. To review the frequency, mode of presentation and histological pattern of patients with malignant renal tumours in Nnamdi Azikiwe University Teaching Hospital. A 7 year retrospective review of all our renal tumour folders in theinstitution. 19 patients qualified for the study with a male/female ratio of 1:2.8 and a mean age of 52.6 +/- 15.8 years. The peak age was in the seventh decade. Most patient present late (78.9%). Renal cell cancer was the commonest tumour type with the commonest mode of presentation being abdominal mass and pain. Malignant renal tumours present very ate in our environment and patients hesitate in accepting available treatment option which is surgery. There is need for increased patient awareness and high index of suspicion by the clinician, particularly during imaging procedures, as...
Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria
Malignant renal tumour is the third commonest urological tumour after prostate and bladder cancer... more Malignant renal tumour is the third commonest urological tumour after prostate and bladder cancer. It is however the urological tumour with the highest mortality/incidence ratio. To review the frequency, mode of presentation and histological pattern of patients with malignant renal tumours in Nnamdi Azikiwe University Teaching Hospital. A 7 year retrospective review of all our renal tumour folders in theinstitution. 19 patients qualified for the study with a male/female ratio of 1:2.8 and a mean age of 52.6 +/- 15.8 years. The peak age was in the seventh decade. Most patient present late (78.9%). Renal cell cancer was the commonest tumour type with the commonest mode of presentation being abdominal mass and pain. Malignant renal tumours present very ate in our environment and patients hesitate in accepting available treatment option which is surgery. There is need for increased patient awareness and high index of suspicion by the clinician, particularly during imaging procedures, as...
Ectopic breast tissues are subject to the similar physiological and pathological alterations seen... more Ectopic breast tissues are subject to the similar physiological and pathological alterations seen in breast tissues situated in their normal anatomical positions. We report a 34-year old multiparous woman who presented with a right axillary lump of about 1 year duration, for which clinical impression of axillary lymphadenopathy was made and lumpectomy carried out. Histology of excised lump revealed fibroadenoma. We discussed possible pathogeneses and consequences of this lesion.
Malignant renal tumour is the third commonest urological tumour after prostate and bladder cancer... more Malignant renal tumour is the third commonest urological tumour after prostate and bladder cancer. It is however the urological tumour with the highest mortality/incidence ratio. To review the frequency, mode of presentation and histological pattern of patients with malignant renal tumours in Nnamdi Azikiwe University Teaching Hospital. A 7 year retrospective review of all our renal tumour folders in theinstitution. 19 patients qualified for the study with a male/female ratio of 1:2.8 and a mean age of 52.6 +/- 15.8 years. The peak age was in the seventh decade. Most patient present late (78.9%). Renal cell cancer was the commonest tumour type with the commonest mode of presentation being abdominal mass and pain. Malignant renal tumours present very ate in our environment and patients hesitate in accepting available treatment option which is surgery. There is need for increased patient awareness and high index of suspicion by the clinician, particularly during imaging procedures, as...
Ectopic breast tissues are subject to the similar physiological and pathological alterations seen... more Ectopic breast tissues are subject to the similar physiological and pathological alterations seen in breast tissues situated in their normal anatomical positions. We report a 34-year old multiparous woman who presented with a right axillary lump of about 1 year duration, for which clinical impression of axillary lymphadenopathy was made and lumpectomy carried out. Histology of excised lump revealed fibroadenoma. We discussed possible pathogeneses and consequences of this lesion.
To study postorchiectomy anaemia in black Nigerian patients who had bilateral orchiectomy for adv... more To study postorchiectomy anaemia in black Nigerian patients who had bilateral orchiectomy for advanced carcinoma of the prostate. Anaemia has been observed in similar studies done on Caucasians and non-black patients in non-tropical environments Consecutive patients with advanced carcinoma of the prostate who were managed by the authors over a four-year period, and who were treated with bilateral orchiectomy were prospectively studied. They also satisfied the set criteria for inclusion in the study. Thirty-six patients were studied. The mean age was 71 years (SD = 7.6). Preoperative white blood cell count with blood film examination, and serum urea and creatinine were within normal limits and remained so for the duration of the study. The mean value of the haemoglobin concentration dropped significantly from 11.9 g/dl to 10.1 g/dl at six months (p < 0.005). The prostate specific antigen decreased from a mean preoperative value of 62.2 ng/ml (SD = 58.6) to a mean postoperative nad...
To report and discuss the characteristics of genitourinary tuberculosis as observed in a sub-Saha... more To report and discuss the characteristics of genitourinary tuberculosis as observed in a sub-Saharan African setting, where reports suggest its rarity despite reported high incidence and prevalence of pulmonary tuberculosis. Thirty one consecutive patients with discharge diagnoses of genitourinary tuberculosis seen in a small community-based hospital over a five-year period were retrospectively studied. There were 28 males and three females, with a mean age of 37.6 (SD 11.5) years. Forty- three sites were involved in seven organs: epididymis 25 (58.1%), kidney 7 (16.3%), testis 4 (9.3%), bladder 3 (7.0%), ureter 2 (4.7%), prostate 1 (2.3%), and cord of the testis 1 (2.3%). The commonest presenting features were scrotal/testicular mass with or without pain/tenderness (80.6%), fever/headache (51.6%), and dysuria (22.6%). Other common features were back, loin, or abdominal pain/tenderness. hydrocoele, scrotal abscess, and haematuria. 26.9% had evidence of concurrent or previous pulmona...
A case is presented of a combined intrauterine and extrauterine gestation. The diagnosis of the e... more A case is presented of a combined intrauterine and extrauterine gestation. The diagnosis of the ectopic pregnancy was made intraoperatively with a pre-operative diagnosis of a simple intestinal obstruction, while the intrauterine pregnancy was diagnosed after a spontaneous abortion. A family history of twinning associated with a surgical evidence of chronic inflammatory disease is thought to be the cause.
www.ees.elsevier.com/afju www.sciencedirect.com Male genital injuries caused by ritual attacks in... more www.ees.elsevier.com/afjuwww.sciencedirect.com Male genital injuries caused by ritual attacks in Nigeria:
Background: To have a re-look at the common non-urological features of prostate cancer with a vie... more Background: To have a re-look at the common non-urological features of prostate cancer with a view of determining if the non-urological presenting symptoms in patients with carcinoma of the prostate are of any significance or use as applicable indices in their management, especially in developing countries. Method: Twenty-seven patients with carcinoma of the prostate and twenty patients with benign prostatic enlargement presenting over a five-year period were studied. From the data on both groups of patients, the sensitivities, specificities, predictive values, and usefulness indices of the non-urological symptoms of carcinoma of the prostate were determined. Result: The commonest non-urological symptoms of carcinoma of the prostate were constipation, pedal oedema, weight loss, waist pain, abdominal pain/discomfort, generalized body weakness, and inability to walk. All the symptoms were of relatively poor sensitivity and negative predictive value, but specificity and positive predic...
A case is presented of a combined intrauterine and extrauterine gestation. The diagnosis of the e... more A case is presented of a combined intrauterine and extrauterine gestation. The diagnosis of the ectopic pregnancy was made intraoperatively with a pre-operative diagnosis of a simple intestinal obstruction, while the intrauterine pregnancy was diagnosed after a spontaneous abortion. A family history of twinning associated with a surgical evidence of chronic inflammatory disease is thought to be the cause.
OBJECTIVE To study postorchiectomy anaemia in black Nigerian patients who had bilateral orchiecto... more OBJECTIVE To study postorchiectomy anaemia in black Nigerian patients who had bilateral orchiectomy for advanced carcinoma of the prostate. Anaemia has been observed in similar studies done on Caucasians and non-black patients in non-tropical environments MATERIALS AND METHODS Consecutive patients with advanced carcinoma of the prostate who were managed by the authors over a four-year period, and who were treated with bilateral orchiectomy were prospectively studied. They also satisfied the set criteria for inclusion in the study. RESULT Thirty-six patients were studied. The mean age was 71 years (SD = 7.6). Preoperative white blood cell count with blood film examination, and serum urea and creatinine were within normal limits and remained so for the duration of the study. The mean value of the haemoglobin concentration dropped significantly from 11.9 g/dl to 10.1 g/dl at six months (p < 0.005). The prostate specific antigen decreased from a mean preoperative value of 62.2 ng/ml ...
OBJECTIVE To report and discuss the characteristics of genitourinary tuberculosis as observed in ... more OBJECTIVE To report and discuss the characteristics of genitourinary tuberculosis as observed in a sub-Saharan African setting, where reports suggest its rarity despite reported high incidence and prevalence of pulmonary tuberculosis. PATIENTS AND METHOD Thirty one consecutive patients with discharge diagnoses of genitourinary tuberculosis seen in a small community-based hospital over a five-year period were retrospectively studied. RESULT There were 28 males and three females, with a mean age of 37.6 (SD 11.5) years. Forty- three sites were involved in seven organs: epididymis 25 (58.1%), kidney 7 (16.3%), testis 4 (9.3%), bladder 3 (7.0%), ureter 2 (4.7%), prostate 1 (2.3%), and cord of the testis 1 (2.3%). The commonest presenting features were scrotal/testicular mass with or without pain/tenderness (80.6%), fever/headache (51.6%), and dysuria (22.6%). Other common features were back, loin, or abdominal pain/tenderness. hydrocoele, scrotal abscess, and haematuria. 26.9% had evide...
Ectopic breast tissues are subject to the similar physiological and pathological alterations seen... more Ectopic breast tissues are subject to the similar physiological and pathological alterations seen in breast tissues situated in their normal anatomical positions. We report a 34-year old multiparous woman who presented with a right axillary lump of about 1 year duration, for which clinical impression of axillary lymphadenopathy was made and lumpectomy carried out. Histology of excised lump revealed fibroadenoma. We discussed possible pathogeneses and consequences of this lesion.
Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria
Malignant renal tumour is the third commonest urological tumour after prostate and bladder cancer... more Malignant renal tumour is the third commonest urological tumour after prostate and bladder cancer. It is however the urological tumour with the highest mortality/incidence ratio. To review the frequency, mode of presentation and histological pattern of patients with malignant renal tumours in Nnamdi Azikiwe University Teaching Hospital. A 7 year retrospective review of all our renal tumour folders in theinstitution. 19 patients qualified for the study with a male/female ratio of 1:2.8 and a mean age of 52.6 +/- 15.8 years. The peak age was in the seventh decade. Most patient present late (78.9%). Renal cell cancer was the commonest tumour type with the commonest mode of presentation being abdominal mass and pain. Malignant renal tumours present very ate in our environment and patients hesitate in accepting available treatment option which is surgery. There is need for increased patient awareness and high index of suspicion by the clinician, particularly during imaging procedures, as...
Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria
Malignant renal tumour is the third commonest urological tumour after prostate and bladder cancer... more Malignant renal tumour is the third commonest urological tumour after prostate and bladder cancer. It is however the urological tumour with the highest mortality/incidence ratio. To review the frequency, mode of presentation and histological pattern of patients with malignant renal tumours in Nnamdi Azikiwe University Teaching Hospital. A 7 year retrospective review of all our renal tumour folders in theinstitution. 19 patients qualified for the study with a male/female ratio of 1:2.8 and a mean age of 52.6 +/- 15.8 years. The peak age was in the seventh decade. Most patient present late (78.9%). Renal cell cancer was the commonest tumour type with the commonest mode of presentation being abdominal mass and pain. Malignant renal tumours present very ate in our environment and patients hesitate in accepting available treatment option which is surgery. There is need for increased patient awareness and high index of suspicion by the clinician, particularly during imaging procedures, as...
Ectopic breast tissues are subject to the similar physiological and pathological alterations seen... more Ectopic breast tissues are subject to the similar physiological and pathological alterations seen in breast tissues situated in their normal anatomical positions. We report a 34-year old multiparous woman who presented with a right axillary lump of about 1 year duration, for which clinical impression of axillary lymphadenopathy was made and lumpectomy carried out. Histology of excised lump revealed fibroadenoma. We discussed possible pathogeneses and consequences of this lesion.
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