6 results on '"Lawal, Ahmad Tijani"'
Search Results
2. Incidence and Determinants of Catheter-Related Bladder Spasms Following Transurethral Resection of the Prostate; A Prospective Review of 80 Cases.
- Author
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Oyelowo, Nasir, Sudi, Abdullahi, Awaisu, Mudi, Tolani, Musliu Adetola, Lawal, Ahmad Tijani, Ahmed, Muhammed, Bello, Ahmad, and Maitama, Hussaini Yusuf
- Subjects
TRANSURETHRAL prostatectomy ,SPASMS ,BLADDER ,THROMBOSIS ,IMPLANTABLE catheters - Abstract
Background: Bladder spasms due to involuntary contraction of the bladder occur frequently following Transurethral resection of the prostate (TURP). They may be aggravated by the presence of a catheter, blood clots, preoperative overactive bladder, or preoperative ingestion of bladder stimulants like caffeine. These bladder spams are painful, associated with peri-catheter leakage of urine, increased post-operative bleeding, and often refractory to postoperative analgesia. The incidence and risk factors for the occurrence of bladder spasms following TURP need to be reviewed and validated to ensure adequate patient counseling and possible lifestyle modification before surgery. We conducted a prospective review of the determinants of bladder spasms in our patients following TURP. Methodology: The study population was patients with benign prostatic obstruction scheduled for TURP between March 2022 and April 2023. Monopolar transurethral resection of the prostate was done using a continuous flow resectoscope. The primary endpoint of the study was occurrences of bladder spasms postoperatively before the trial without a catheter. Pain perception during the spasms was assessed using a visual analog scale. Clinical data were collected and analyzed to determine their association with the occurrence of bladder spasms postoperatively using regression analysis. Sub-group analysis was also done to correlate significant variables with the severity of pain in patients with spasms. Results: The mean age of the 80 patients reviewed was 66.9 ±8 years. Bladder spasms were seen in 41(51.2%) of the patients. The presence of overactive bladder (OAB) symptoms and the use of bladder stimulants were statistically significant determinants with a p-value of 0.003 and 0.026 respectively. The age of the patient, preoperative indwelling catheter, prostate volume, and resection time were not statistically determinant variables in the occurrence of bladder spasms post-operatively. 61% had severe pains and 39% had mild pains. There was no significant correlation between the presence of OAB or the use of bladder stimulants with the severity of pains in patients with bladder spasms after TURP. Conclusions: Half of the patients are likely to have bladder spasms after TURP. The risk of having these spasms is higher in patients with preoperative OAB or patients who are exposed to bladder stimulants. The severity of spasms is however independent of these risk factors. [ABSTRACT FROM AUTHOR]
- Published
- 2024
3. Fournier's Gangrene: Presentation and Predictors of Mortality in Zaria, Nigeria
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Oyelowo, Nasir, Ahmed, Muhammed, Lawal, Ahmad Tijani, Sudi, Abdullahi, Adetola Tolani, Awaisu Mudi Musliu, Fidelis, Lovely, Bello, Ahmad, and Maitama, Husseini Yusuf
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Adult ,Male ,présentation ,Nigeria ,Middle Aged ,mortality ,Severity of Illness Index ,Gangrène de Fournier ,Anti-Bacterial Agents ,Fournier's gangrene ,Risk Factors ,Escherichia coli ,Humans ,Original Article ,Genital Diseases, Male ,mortalité ,presentation ,Fournier Gangrene ,Aged ,Retrospective Studies - Abstract
Background: Fournier's gangrene is an infectious urological emergency with associated morbidity and varying rates of mortality in the world. Various predictors of mortality such as advancing age, Fournier's Gangrene Severity Index (FGSI), anatomical extent of the disease, or presence of risk factors have been studied in the literature, though with conflicting results. Aim: The aim of the study was to determine the presentation and predictors of mortality in our environment, Nigeria. Patients and Methods: A review of medical records of all the patients managed from April 2012 to December 2018 at a tertiary referral center in Nigeria was conducted. Data on clinical presentation, FGSI, management, and outcome were retrieved and analyzed. Statistical Analysis: Descriptive studies using mean and standard deviation were used for continuous variables, Fischer's exact test was used to compare categorical variables among survivors and nonsurvivors, and logistic regression analysis was used to describe the relationships of these variables with mortality. Results: The mean age of the 31 patients was 60 ± 12 years. All were men, with 9 (29.0%) patients without clinical evidence of immunosuppression or predisposing factor (idiopathic). Fourteen (45%) had documented evidence of immunosuppression. All the patients had a polymicrobial infection; however, Escherichia coli was the most common organism cultured seen in 26 (83.9%) patients. The initial empirical antibiotic regimen of choice was a combination of intravenous ceftriaxone and metronidazole in 26 (83.8%) patients and intravenous ciprofloxacin and metronidazole in 5 (16.1%) patients. Mortality was recorded in three patients representing a rate of 9.6%. Anatomical extent of the disease, anemia requiring blood transfusion, severity of infection, and FGSI were all found to be the statistically significant variable of mortality in these patients using the Fischer exact test. Furthermore, on regression analysis only the FGSI and blood transfusion were significant with P < 0.05. Conclusion: Fournier's gangrene is a disease of the older men with a higher mortality rate when the FGSI is >9 or anemia requiring blood transfusion is present.
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- 2021
4. Iatrogenic ureter cutaneous fistula and incisional hernia following laparotomy - case report
- Author
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Oyelowo, Nasir, primary, Sudi, Abdullahi, additional, Ibrahim, Aliyu, additional, Zubair Abdullahi, Zubair Mubarak, additional, and Lawal, Ahmad Tijani, additional
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- 2020
- Full Text
- View/download PDF
5. Have our strictures changed? Analysis of Current Characteristics and Management of Urethral Stricture Disease in Zaria, Nigeria
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Oyelowo, Nasir, primary, Ahmed, Muhammed, additional, Bello, Ahmad, additional, Lawal, Ahmad Tijani, additional, Maitama, Husseni Yusuf, additional, Muhammad, Muhammad Salihu, additional, Abdulsalam, Khalifa, additional, Bilyaminu, lawal Bola, additional, and Olagunju, Jemila, additional
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- 2019
- Full Text
- View/download PDF
6. Analysis of the Determinants, Characteristics and Management of Recurrent Urethral Strictures.
- Author
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Oyelowo N, Ahmed M, Tolani MA, Lawal AT, Awaisu M, Sudi A, Jemila O, Bello A, and Maitama HY
- Abstract
Background: The presentation and management of the recurrent urethral stricture varies and depends largely on the initial treatment and the characteristics of the recurrent stricture. What are the likely determinants of recurrence?, Patients and Methods: This is a retrospective review of all patients who had urethroplasties from January 2013 to December 2017 for anterior urethral strictures in our institution. Patients with a recurrence of the strictures were identified and reviewed, while patients with hypospadias and posterior urethral stenosis or contractures were excluded from the study. The etiology, length, site, and type of urethroplasties were evaluated as variables that may contribute to the recurrence of strictures using inferential statistics and logistic regression analysis. Time to recurrence was analyzed using the Kaplan-Meier method., Results: A total of 206 urethroplasties for anterior urethral strictures were evaluated with recurrence of strictures noted in 29 patients and a recurrence rate of 14.1%. Recurrence was higher in long-segment strictures, penobulbar strictures, and postinflammatory strictures. Pedicle flaps were used in 45% of the strictures that reoccurred. Using Chi-square, the length, site, of urethroplasties were statistically significant determinants of recurrence; however, only the site of stricture was found to be statistically significant following logistic regression analysis. The site of recurrence was in the bulbar urethra in 79% and the penile urethra in 21%. The choice of treatment of the recurrent strictures was anastomotic urethroplasty in 76.5%. The mean time to failure in this study was 13 months with a range of 6-120 months., Conclusion: In this study, the site of stricture was found to be the most determinant of stricture recurrence, with penobulbar strictures mostly implicated. Long-segment strictures were also noted to contribute to some extent in recurrence. These recurrent strictures were mostly short-segment strictures in the bulbar urethra which were amenable to excision and anastomosis to achieve cure., Competing Interests: There are no conflicts of interest., (Copyright: © 2020 Nigerian Journal of Surgery.)
- Published
- 2020
- Full Text
- View/download PDF
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