OBJECTIVE To compare clean intermittent self-catheterisation and urethral dilatation with sounds in the management of recurrent urethral strictures. DESIGN A prospective randomised control trial between repeated urethral dilatation with sounds and use of clean intermittent self-catheterisation in the management of recurrent urethral strictures. SETTING Kenyatta National Hospital, urology cl...

Benign prostatic hyperplasia (BPH) is a benign hyperplasia of prostate gland cells of the urethra affecting increasing population. The most common method of treatment is transurethral resection of the prostate (TURP). But many complications may occur including intraoperative or postoperative hemorrhage, prostate perforation, urinary incontinence and bladder neck contracture. Transurethral ballo...

Benign prostatic hyperplasia (BPH) is a benign hyperplasia of prostate gland cells of the urethra affecting increasing population. The most common method of treatment is transurethral resection of the prostate (TURP). But many complications may occur including intraoperative or postoperative hemorrhage, prostate perforation, urinary incontinence and bladder neck contracture. Transurethral ballo...

Percutaneous suprapubic cystostomy (SPC) is a procedure performed to manage urinary retention when urethral catheterization is contraindicated or to improve the quality of life in cases such as neurogenic bladder. Although a simple procedure, it is associated with serious complications, increasing the morbidity and mortality. This case study demonstrates a delayed presentation of small bowel ob...

[2] Turner KJ, Brewster SF. Rectal examination and urethral catheterization by medical students and house offices: taught but not used. BJU Int 2000;86:422–6. [3] Philip J, Dutta RS, Ballal M, et al. Is a digital rectal examination necessary in the diagnosis and clinical staging of early prostate cancer? BJU Int 2005;95:969–71. [4] Schroder FH, Roobol-Bouts M, Vis AN, Vanderkwast T, Krause R. P...

The first successful artificial insemination in cats was described 40 years ago. However, the insemination in cats is at present not as commonly performed in daily veterinary practice as the insemination in dogs due to the practical difficulties in collecting a sperm sample from the tomcat, the small volume of the sperm obtained, the few possibilities to determine the optimal timing of insemina...

Midurethral slings have become the most popular surgical procedure for the correction of stress urinary incontinence in women. Urinary retention or obstructive voiding symptoms may arise from partial urethral obstruction as a result of oversuspension of the urethra or exaggerated tension. Fortunately, most cases of voiding dysfunction are transient and resolve spontaneously within days. Clean i...

Rett Syndrome (RTT) is a neurodevelopmental disorder characterized by loss of acquired skills during development, autonomic dysfunction, and an increased risk for premature lethality. Clinical experience identified a subset of individuals with RTT that present with urological dysfunction including individuals with frequent urinary tract infections, kidney stones, and urine retention requiring f...

OBJECTIVE To review the management of major urethral injury in three girls with fractured pelvis following blunt abdominal trauma. PATIENTS AND METHODS Three girls aged 5 years, 1 year and 3 years sustained major urethral injury in association with fractured pelvis following blunt abdominal trauma. Initial management was undertaken elsewhere. Two girls, with complete loss of the urethra and a...

To treat the neurogenic bladder-due detrusor/urethral rhabdosphincter dyssynergia, early combined clean intermittent catheterization/ pharmacotherapy (anticholinergic-, β3-adrenoceptor agonist drugs) management may be at times crowned with success of preserving an adequate bladder compliance and renal safe conditions.The persistence, instead, of elevated bladder filling pressure levels with hig...