Urologic day-care surgery in a Tertiary Hospital in Nigeria: A 4-year review
Background: Day-care surgery is associated with economic, social, and health benefits to the patients. The increasing pressure on hospital bed and theater space serves as impetus for renewed interest in day-care surgery in our facility. Objective: To report our experience in day-care surgery in the...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Sahel Medical Journal |
| Subjects: | |
| Online Access: | http://www.smjonline.org/article.asp?issn=1118-8561;year=2019;volume=22;issue=4;spage=214;epage=218;aulast=Muhammad |
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| author | Abubakar Sadiq Muhammad Abdulwahab-Ahmed Abdullahi Ngwobia Peter Agwu Ismaila Arzika Mungadi |
| author_facet | Abubakar Sadiq Muhammad Abdulwahab-Ahmed Abdullahi Ngwobia Peter Agwu Ismaila Arzika Mungadi |
| author_sort | Abubakar Sadiq Muhammad |
| collection | DOAJ |
| description | Background: Day-care surgery is associated with economic, social, and health benefits to the patients. The increasing pressure on hospital bed and theater space serves as impetus for renewed interest in day-care surgery in our facility. Objective: To report our experience in day-care surgery in the past 4 years. Materials and Methods: This is a retrospective review of patients who had urologic day-care procedures in our facility, from January 2014 to December 2017. Data were collected through pro forma and analyzed using SPSS version 20.0 for windows. Results: There were 502 patients who had day-care procedures within the study period which accounted for 43.5% of elective procedures. The patients' age ranged from 1 to 90 years. There were 494 males (98.4%) and 8 females (1.6%). The procedures were diagnostic in 89.6%, therapeutic in 9.8%, and both diagnostic and therapeutic in 0.6% of the patients. The procedures included transrectal ultrasound (TRUS)-guided prostatic biopsy (74.5%), urethrocystoscopy ± biopsy and double J stent retrieval (16.7%), varicocoelectomy (2.8%), circumcision (1.4%), meatoplasty (0.6%), excisional biopsy (0.6%), and others (3.4%). Two patients (0.4%) had a conversion to inpatient admission due to persistent hematuria following urethrocystoscopy and biopsy. There were three re-admissions (0.6%) for postprostatic biopsy infection (0.4%) and surgical site infection (0.2%) following varicocoelectomy in an obese patient. Conclusion: TRUS-guided biopsy, urethrocystoscopy, and varicocoelectomy are the most common day-care procedures in our facility. The morbidity, conversion, and re-admission rates were acceptable. |
| first_indexed | 2024-12-19T09:07:39Z |
| format | Article |
| id | doaj.art-35b0fe0cb56e4222b275048aca23fee3 |
| institution | Directory Open Access Journal |
| issn | 2321-6689 |
| language | English |
| last_indexed | 2024-12-19T09:07:39Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Sahel Medical Journal |
| spelling | doaj.art-35b0fe0cb56e4222b275048aca23fee32022-12-21T20:28:18ZengWolters Kluwer Medknow PublicationsSahel Medical Journal2321-66892019-01-0122421421810.4103/smj.smj_6_18Urologic day-care surgery in a Tertiary Hospital in Nigeria: A 4-year reviewAbubakar Sadiq MuhammadAbdulwahab-Ahmed AbdullahiNgwobia Peter AgwuIsmaila Arzika MungadiBackground: Day-care surgery is associated with economic, social, and health benefits to the patients. The increasing pressure on hospital bed and theater space serves as impetus for renewed interest in day-care surgery in our facility. Objective: To report our experience in day-care surgery in the past 4 years. Materials and Methods: This is a retrospective review of patients who had urologic day-care procedures in our facility, from January 2014 to December 2017. Data were collected through pro forma and analyzed using SPSS version 20.0 for windows. Results: There were 502 patients who had day-care procedures within the study period which accounted for 43.5% of elective procedures. The patients' age ranged from 1 to 90 years. There were 494 males (98.4%) and 8 females (1.6%). The procedures were diagnostic in 89.6%, therapeutic in 9.8%, and both diagnostic and therapeutic in 0.6% of the patients. The procedures included transrectal ultrasound (TRUS)-guided prostatic biopsy (74.5%), urethrocystoscopy ± biopsy and double J stent retrieval (16.7%), varicocoelectomy (2.8%), circumcision (1.4%), meatoplasty (0.6%), excisional biopsy (0.6%), and others (3.4%). Two patients (0.4%) had a conversion to inpatient admission due to persistent hematuria following urethrocystoscopy and biopsy. There were three re-admissions (0.6%) for postprostatic biopsy infection (0.4%) and surgical site infection (0.2%) following varicocoelectomy in an obese patient. Conclusion: TRUS-guided biopsy, urethrocystoscopy, and varicocoelectomy are the most common day-care procedures in our facility. The morbidity, conversion, and re-admission rates were acceptable.http://www.smjonline.org/article.asp?issn=1118-8561;year=2019;volume=22;issue=4;spage=214;epage=218;aulast=Muhammadday-care urologyoutcomeprostate biopsyurethrocystoscopyvaricocoelectomy |
| spellingShingle | Abubakar Sadiq Muhammad Abdulwahab-Ahmed Abdullahi Ngwobia Peter Agwu Ismaila Arzika Mungadi Urologic day-care surgery in a Tertiary Hospital in Nigeria: A 4-year review Sahel Medical Journal day-care urology outcome prostate biopsy urethrocystoscopy varicocoelectomy |
| title | Urologic day-care surgery in a Tertiary Hospital in Nigeria: A 4-year review |
| title_full | Urologic day-care surgery in a Tertiary Hospital in Nigeria: A 4-year review |
| title_fullStr | Urologic day-care surgery in a Tertiary Hospital in Nigeria: A 4-year review |
| title_full_unstemmed | Urologic day-care surgery in a Tertiary Hospital in Nigeria: A 4-year review |
| title_short | Urologic day-care surgery in a Tertiary Hospital in Nigeria: A 4-year review |
| title_sort | urologic day care surgery in a tertiary hospital in nigeria a 4 year review |
| topic | day-care urology outcome prostate biopsy urethrocystoscopy varicocoelectomy |
| url | http://www.smjonline.org/article.asp?issn=1118-8561;year=2019;volume=22;issue=4;spage=214;epage=218;aulast=Muhammad |
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