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Context: Urological diseases vary from one geographical location to another worldwide. The knowledge of their distribution in each location could determine local workforce and facility needs and as well guide the areas of subspecialization. Aims: The aim of this study is to document the annual frequency and distribution of urological diseases at the Usmanu Danfodiyo University Teaching Hospital, Sokoto. Settings and Design: A cross-sectional retrospective study from January 2016 to December 2016 of all new patients seen at the urology outpatient clinic, emergency department as well as inpatient referrals from other departments of Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria. Materials and Methods: The relevant records were extracted from the patient's case notes and entered into a semistructured questionnaire. Statistical Analysis Used: Data were analyzed using the SPSS software version 20. Results: A total of 607 new patients were seen over the study period. There were 576 (94.9%) males and 31 (5.1%) females, with a male-to-female ratio of 18.6:1. The median age was 45 years, with age range of 1–106 years. Urological emergencies were seen in 35.0% patients. Ninety-one percent of cases were acquired, whereas 8.2% were of congenital etiology. Overall, the most commonly diagnosed urologic diseases among new patients in order of decreasing frequency were benign prostatic enlargement (BPE) (18.6%), bladder tumor (11.8%), upper tract urinary calculi (10.3%), urethral stricture (8.9%), and prostate adenocarcinoma (7.4%). Conclusions: BPE, bladder tumor, upper tract urinary calculi, urethral stricture, and prostate adenocarcinoma are common in our environment. Knowledge of these diseases distribution may guide service expansion and workforce needs, inspire subspecialization as well as direct research and government policy in this community. Nongovernmental organizations wanting to have impact will be suitably directed.

Background: Stenting of the ureters is an established principle of ureteral surgery. This can be achieved using conventional double-J (DJ) stents, ureteric catheter or improvised infant feeding tubes. In routine urological practice, our choice is influenced by availability, cost, and the availability of urethrocystoscopic equipment for device retrieval. We described an alternative surgical technique and review the outcomes of this procedure. Patients and Method: This is a 10-year retrospective study from October 2007 to November 2017 of patients who had an alternative to DJ-stenting using infant feeding tube for ureteroneocystostomy following ureteric injury in the urology unit of a tertiary health facility. The records of socio-demographic, clinical and therapeutic characteristics and complications in patients who had alternative to DJ-Stenting inserted for ureteroneocystostomy following ureteric injury were extracted from patient's case notes. Data was analyzed using SPSS version 20. Results: Out of a total of 26 female patients with ureteral injuries who had ureteroneocystostomy with alternative to DJ-stenting, complete records of 12 (46.2%) patients were available. Mean age of patients was 37.42 ± 13.69 years with a range of 20-58 years. Majority of the patients were between the ages of 30 to 39 years (33.3%). The alternative to DJ-stent specific complication was stent dislodgement noted in 12.5% of patients. Conclusion: The alternative to DJ-stenting for ureteroneocystostomy is associated with low procedure-specific complications. It is a useful tool especially for patients from low socio-economic background presenting with ureteral complications after gynecological or obstetric surgeries.