Surgical services we provide include: Urology, Laparoscopic surgery, Endoscopic Surgery, Kidney Transplant etc
Urology is a branch of Surgery that handles all urinary problems in men, women and children and all reproductive problems in men, including:
- Erectile dysfunction
- Urinary or kidney stones
- Prostate problems like benign enlargement that comes with age, prostatitis, prostate cancer (which is the commonest cancer seen in Nigeria)
- Male infertility. In-Vitro Fertilization (IVF) does not treat infertility, it only bypasses the problem. As much as possible, couples would prefer to have the problem completely solved and have their children naturally. In about half of the cases, infertility in a couple is due to male problems, the commonest of which is low sperm count. The commonest cause of low sperm count is varicocoeles. Varicocoeles are distended, tortuous veins of the pampiniform plexus, which drains blood from the testis. Because they are abnormal, blood flow is sluggish, and testicular nutrition and sperm cell production are impaired. Varicocoeles are so easy to treat. IVF becomes a last resort to the few who do not respond appropriately to treatment. The most effective modality of treatment is surgical.
- Urogenital tumors e.g. cancer of the scrotum, bladder cancer, kidney cancer, cancer of the penis.
- Urinary tract infections
- Sexually transmitted diseases
- Urinary leakages e.g. urinary incontinence, vesico-vaginal fistulas as in some women after childbirth
- Congenital defects of the urinary and reproductive tracts as seen in hermaphrodites, hypospadias, and epispadias. Some of these children look like male children externally but they are female internally. Some look like females externally but they are actually male children. It is important to determine the sex of the baby before a name is given. Sometimes we wait for the genital organs to grow a little more before we do reconstructive surgery at about 2 years of age. Appropriate surgery is done for the child to look like a normal male or female.
- Congenital hernias
- Urogenital trauma e.g. kidney injury, ruptured bladder, urethral injury.
- Urinary Obstruction or any disturbance of the normal flow of urine from the kidney to the outside of the body e.g. urethral strictures, ureteric strictures or stenosis; ureterocoeles.
Endoscopic and Laparoscopic Surgery
The following endoscopic surgical procedures are available in Kelina Hospital:
- Cystoscopy, flexible and rigid
- Holmium Laser Enucleation of the Prostate (HoLEP)
- Transurethral resection of the prostate (TURP) for enlarged prostate glands.
- Transurethral vaporization of the prostate (TUVP) for enlarged prostate glands.
- Transurethral incision of the bladder neck for small prostate glands obstructing the bladder neck.
- Transurethral resection of bladder tumours (TURBT) for bladder cancer.
- Optical urethrotomy for urethral strictures.
- Valvotomy for posterior urethral valves.
- Flexible ureteroscopy.
- Semi-rigid ureteroscopy.
- Percutaneous nephrolithotomy.
- Holmium laser lithotripsy.
- Ultrasonic lithotripsy.
- Pneumatic lithotripsy.
- Flexible colonoscopy.
- Direct and Indirect Laryngoscopy.
- Ear, Nose and Throat video endoscopy.
- Laparoscopic cholecystectomy for gall stones.
- Laparoscopic myomectomy for uterine fibroids.
- Laparoscopic ovarian cystectomy for ovarian cysts.
- Laparoscopic appendicectomy.
- Hysteroscopic Adhesiolysis.
- Laparoscopic Tubal Ligation.
Minimal Access Sugery
Minimal Access Surgery is surgery done through very tiny openings that sometimes leave no scars at all on the body, or surgery done through natural orifices in such a way that the actual operation can be done as in open surgery, but with no scars as are usually left on the body after open surgery.