Journal of the West African College of Surgeons最新文献

{"title":"Comparative Evaluation of the Degree of Liver Fibrosis on Ultrasound-Based Fibroscan and Hyaluran Tests in Patients with Chronic Liver Disease.","authors":"Benjamin Egbo, Charles Ani, Salaam Abdul, Lucius Imoh, Philip Ibinaiye","doi":"10.4103/jwas.jwas_82_23","DOIUrl":"10.4103/jwas.jwas_82_23","url":null,"abstract":"<p><strong>Background: </strong>Chronic liver disease (CLD) in the clinical context is a disease process affecting the liver, which involves a process of progressive destruction and regeneration of the liver parenchyma, leading to fibrosis and cirrhosis. Both FibroScan, which is an ultrasound study also known as transient elastography, and Hyaluran test (biochemical test) are rapid safe non-invasive examinations of the liver, which can be used to monitor the degree and progression of fibrotic changes in the liver.</p><p><strong>Objective: </strong>The purpose of this study was to compare the degree of liver fibrosis, as measured on ultrasound-based FibroScan and Hyaluran tests in CLD.</p><p><strong>Materials and methods: </strong>This was a two-stage comparative study carried out on patients with clinically diagnosed CLD and non-CLD subjects at Jos University Teaching Hospital (JUTH) from January to June 2022. The first stage involved the use of ultrasound-based FibroScan to assess the degree of tissue stiffness in the liver of both CLD and non-CLD subjects. The unit of measurement of FibroScan is kilopascals (Kpa). In the second stage, blood samples were collected from CLD and non-CLD subjects for Hyaluran tests. The unit of measurement of Hyaluran tests is expressed in nanograms per milliliter (ng/mL).</p><p><strong>Results: </strong>This study comprises of 75 apparently normal subjects and 75 CLD patients. The mean FibroScan level was significantly higher (17.55 ± 7.5 kPa) in patients with CLD compared to apparently normal subjects (5.06 ± 3.1 kPa), <i>t</i> = 5.783; <i>P</i> < 0.001. The mean Hyaluran value in the patients with CLD was 30.01 ± 20.39 ng/mL, which was significantly higher than that in the normal subjects with the mean value of 20.39 ± 8.27 ng/mL, <i>t</i> = 3.784; <i>P</i> < 0.001. In evaluating the correlation between FibroScan and Hyaluran in assessing the degree of fibrosis using the Spearman correlation coefficient, it was observed that the degree of fibrosis at the earlier stage (minimal) signifies a positive but weak correlation (<i>P</i> = 0.151), but this was not statistically significant (<i>P</i> = 0.492). However, mild/moderate and severe fibrosis demonstrate moderate positive (<i>P =</i> 0.505 and 0.550) and statistically significant correlation with <i>P</i> value of 0.020 and 0.011, respectively.</p><p><strong>Conclusion: </strong>The study demonstrated a statistically significant difference in the mean FibroScan value in non-CLD and CLD cases. The results also indicated statistically significant difference in the mean Hyaluran value in non-CLD and the CLD cases. The study demonstrated a significant correlation between Hyaluran and FibroScan in assessing the degree of moderate and severe fibrosis in CLD.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 2","pages":"136-141"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pattern of Road Traffic Injuries Presenting at a Tertiary Hospital in North-Central Nigeria.","authors":"Gabriel Oluwatosin Afolabi, Kosisochukwu Elijah Udeogu, Ndubuisi Onu Onyemaechi","doi":"10.4103/jwas.jwas_2_24","DOIUrl":"10.4103/jwas.jwas_2_24","url":null,"abstract":"<p><strong>Background: </strong>Road traffic injuries (RTIs) constitute a major economic and health challenge globally, particularly in developing countries. Nasarawa state, north-central Nigeria, is heavily motorised due to the use of motorcycles as a popular means of transportation. The study aims to determine the pattern and prevalence of RTIs within the state.</p><p><strong>Materials and methods: </strong>A 6-year retrospective study was conducted at the Dalhatu Araf Specialist Hospital (DASH) in Lafia, Nasarawa state. Data were obtained from the medical records of patients admitted with RTIs at the hospital and were analysed using the Statistical Package for the Social Sciences version 26.</p><p><strong>Results: </strong>A total of 929 patients with 1307 injuries were reported. There were 518 (55.8%) males and 411 (44.2%) females, with a male-to-female ratio of 1.3:1. The age of the patients ranged from 1-85 years, with a mean age of 30 ± 20 years. Young adults aged 18-44 years constituted the most injured age group. Motorcycle-related crashes accounted for injuries in 530 (57.1%) patients. These injuries were predominantly traumatic brain injuries (TBIs) and extremity injuries. The body region most affected was the head and face (560, 42.8%), with traumatic brain injuries (448, 32.7%) being the most common type. After treatment, most patients (571, 61.5%) were discharged home, while the mortality rate was 2.4%.</p><p><strong>Conclusion: </strong>In our study, motorcycle-related crashes were prevalent. Young adult males were mostly the victims of RTIs. Traumatic brain injuries and extremity injuries were the predominant types of injuries, often associated with motorcycle and pedestrian crashes. Multisystem injuries and TBIs were major factors contributing to mortality.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 2","pages":"157-163"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perception and Attitude of First-Time Mothers Towards Caesarean Section in Secondary Health Care Facility (A Mixed-Method Study).","authors":"Olajumoke Ayisat Olalude, Olatunji O Lawal, Imran O Morhason-Bello","doi":"10.4103/jwas.jwas_38_24","DOIUrl":"10.4103/jwas.jwas_38_24","url":null,"abstract":"<p><strong>Background: </strong>Despite the global rise in caesarean section (CS), Nigeria has a CS rate of 2.8%, which is far below the World Health Organisation recommendation of 10%-15%. Primigravida and/or first-time mothers constitute a cohort of women who are prone to obstetric emergencies such as cephalo-pelvic disproportion and obstructed labour.</p><p><strong>Objectives: </strong>To evaluate the first-time mothers' knowledge, perceptions, and attitudes towards CS.</p><p><strong>Materials and methods: </strong>This was a mixed-methods study conducted among first-time mothers (primigravids >28weeks and first-time CS-delivered) at Adeoyo Maternity Teaching Hospital, Ibadan, using questionnaires that assessed knowledge and attitude for the quantitative aspect and in-depth interviews for the qualitative aspect using a structured topic guide. Responses from the quantitative aspect were analysed using STATA 15, and each participant's level of knowledge was scored and categorised as: Good knowledge >70%, fair knowledge 50%-70% and poor knowledge <50%. Content analysis was done for the qualitative aspect, and emerging themes on perception and interpretation in CS were summarised and presented as results for interpretation.</p><p><strong>Results: </strong>About 275 mothers (178 pregnant and 97 CS-delivered) were sampled. Only a few (13.45%) of the participants had good knowledge with an equivocal attitude towards CS. The majority (84%) believed that CS helped in saving lives. Also, there was a statistically significant difference between their knowledge and their educational level, occupation, religion, ethnicity, and family income (<i>P</i> < 0.05). The multinomial regression showed that gainfully employed Christian women significantly had more fair and good knowledge than Muslims (RR = 2.01, 95% CI = 1.13-3.57, <i>P</i> = 0.017) (RR = 2.71, 95% CI = 1.23-5.95, <i>P</i> = 0.013).</p><p><strong>Conclusion: </strong>Only a small number of the participants had good knowledge, and their perceptions about CS varied. The attitudes of participants towards CS appeared mixed, as nearly equal proportions of participants had positive and negative attitudes. Hence, there is a need to increase advocacy, antenatal education, and counselling during antenatal clinic visits. Also, first-time mothers need to be put on insurance to reduce the burden of costs.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 2","pages":"224-231"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perception and Role of Indirect and Post-Discharge Surveillance in Predicting Surgical Site Infection in Surgical Patients: An Institutional Experience.","authors":"Padmanabh Inamdar, Dhanashree P Inamdar, Prasan Kumar Hota, Yakkali Avinash, Pravalika Fothedar, Anuradha Basavaraju, Bathina Nikhil Reddy, Naru Sabarinatha Reddy","doi":"10.4103/jwas.jwas_26_24","DOIUrl":"10.4103/jwas.jwas_26_24","url":null,"abstract":"<p><strong>Background: </strong>Surgical site infection (SSI) surveillance is a process of observing and reporting of infections following surgery. SSI surveillance studies are few in our country.</p><p><strong>Objectives: </strong>Present study was conducted to know the perception and role of SSI surveillance. Incidence of surgical site infection, identification of risk factors and bacterial spectrum of surgical wounds during surveillance were also studied.</p><p><strong>Methods: </strong>Patients who underwent a surgical procedure between July 2022 and June 2023 at our hospital were included. A prospective incidence surveillance for SSI was done to look for any signs of infection and record them in the surveillance form. Wound swabs or pus aspirates were sent for microbiological culture.</p><p><strong>Results: </strong>A total of 2312 patients underwent surgery during the study period, of whom 61 patients were diagnosed with SSI. The incidence of SSI was 2.6%. SSI was encountered more in female patients (57.3%). Age distribution had a significant association with SSI (<i>P</i> = 0.025). Most operative wounds were clean-contaminated (45.9%). Most SSIs were superficial (91.8%), followed by deep (8.2%). Most patients who developed SSI had a National Nosocomial Infection Surveillance (NNIS) patient risk index of 2 (45.9%). Bacterial growth was observed in 45.9% of cases. Multidrug resistance (MDR) among these isolates was 42.6%.</p><p><strong>Conclusion: </strong>This study helped to determine predictors of SSI like duration of surgery, type of wound, duration of hospital stays, and NNIS risk index. MDR isolates are now contributing to SSI. The perception of healthcare workers about SSI surveillance was that it was feasible to use and practice. Surveillance helped clinicians to strengthen the existing infection prevention and control practices for the future.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 2","pages":"209-216"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Soft Tissue Reconstruction of Upper Limb Injuries in Southwestern Nigeria: Methods and Outcome.","authors":"Afieharo Igbigbia Michael, Chinsunum Peace Isamah, Olayinka Adebanji Olawoye, Samuel Adesina Ademola, Ayodele Olukayode Iyun, Rotimi Opeyemi Aderibigbe, Ifeanyichukwu Chinedum Ugwu, Odunayo Moronfoluwa Oluwatosin","doi":"10.4103/jwas.jwas_33_24","DOIUrl":"10.4103/jwas.jwas_33_24","url":null,"abstract":"<p><strong>Introduction: </strong>Upper limb injuries requiring soft tissue coverage are common in our environment. These reconstructions provide protection for vital structures and enable tendon gliding. Despite the frequency of these, there is a lack of data on the scope of soft tissue reconstruction and outcomes in our subregion.</p><p><strong>Objectives: </strong>To demonstrate the scope and outcome of soft tissue reconstruction of upper limb injuries, we conducted a study at a major plastic surgery service in Southwestern Nigeria.</p><p><strong>Materials and methods: </strong>This study employed a cross-sectional analytic approach, focusing on all patients with upper limb injuries requiring soft tissue reconstruction between April 2022 and March 2023.</p><p><strong>Results: </strong>During the study period, a total of 49 patients underwent soft tissue reconstruction for upper limb injuries, with a mean age of 36.4 ± 11.3 years. The majority were male (<i>n</i> = 40, 81.6%). The methods of reconstruction included flaps (51%, <i>n</i> = 25) of cases, direct closure (36.7%, <i>n</i> = 18), and skin grafting (12.3%, <i>n</i> = 6). Among flap options, local flaps were utilized in 48% (<i>n</i> = 12), regional flaps in 32% (<i>n</i> = 8), and distant flaps in 20% (<i>n</i> = 5). The median time from injury to surgery, surgery to discharge, and length of hospital stay are 6 days, 6 days, and 13 days, respectively. Patients undergoing local flaps had a shorter injury-to-surgery time compared to those receiving regional and distant flaps (<i>P</i> = 0.026). Patients undergoing skin grafting, regional flaps, and distant flaps experienced longer hospital stays compared to those with direct closure and local flaps (<i>P</i> = 0.000). The in-patient complication rate was 14.3%.</p><p><strong>Conclusions: </strong>The methods of soft tissue reconstruction for upper limb injuries in our institution include flaps, skin grafting, and direct closure.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 2","pages":"217-223"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Usefulness of fasciocutaneous flaps for revision of below-knee amputation stumps.","authors":"Prakash Chandra Kala, Aniket Dave, Pawan Kumar Dixit, Shilpi Karmakar, Deepti Katrolia","doi":"10.4103/jwas.jwas_15_24","DOIUrl":"10.4103/jwas.jwas_15_24","url":null,"abstract":"<p><p>Below-knee lower limb amputations are commonly performed for multiple indications. These vary across age groups, with trauma being the most common indication among young adults. Although below-knee amputations are disabling, decent functional outcomes can be expected with an adequately long tibial stump and a good prosthesis. In our series, the amputation stump was debrided per the surgeon's clinical judgement. The fasciocutaneous flap (free or pedicled) was planned according to the patient's individual needs and the flap's feasibility at the surgeon's discretion. A fasciocutaneous flap cover helps preserve the length of the below-knee amputation stump, resulting in better ambulation. A flap cover at the amputation stump is a better alternative to revising the level of amputation. Higher-level amputations have much worse ambulation rates and require more energy for efficient ambulation with prosthesis.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 2","pages":"187-190"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Rare Case of Malignant Peripheral Nerve Sheath Tumour of the Brachial Plexus with a Diagnostic Dilemma.","authors":"Jiten Kumar Mishra, Shamendra Anand Sahu, Siddhartha Nanda, Aparajita Saha, Ashish Kumar Gupta","doi":"10.4103/jwas.jwas_7_24","DOIUrl":"10.4103/jwas.jwas_7_24","url":null,"abstract":"<p><p>The brachial plexus is usually involved by tumours of adjacent areas like the lungs, breast, and cervical spine. Primary tumour of the brachial plexus are rare. It constitutes less than 5% of upper extremity tumours. Still rare are malignant tumours. Once malignancy is diagnosed there should be no delay in surgery considering the aggressive nature. Here, we discuss the diagnostic dilemma in a case of a malignant peripheral nerve sheath tumour and its surgical approach. Surgical excision was challenging because of the complex anatomy, retroclavicular/infraclavicular extension and proximity tumour to adjacent vital structures.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 2","pages":"235-239"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does Hepatic Metastasectomy for Breast Cancer Oligo-Metastasis to the Liver Offer Survival Advantage? Systematic Review and Meta-Analysis.","authors":"Ibrahim Umar Garzali, Abdurrahman Abba Sheshe, Ibrahim Eneye Suleiman, Amina Ibrahim El-Yakub, Ez El Din Abu Zeid","doi":"10.4103/jwas.jwas_16_24","DOIUrl":"10.4103/jwas.jwas_16_24","url":null,"abstract":"<p><strong>Background: </strong>The impact of liver resection on survival in patients with hepatic metastasis from breast cancer has remained a controversial topic, with multiple studies reporting conflicting results.</p><p><strong>Objective: </strong>We perform this meta-analysis comparing metastasectomy to systemic therapy in terms of survival outcomes in cases of hepatic oligo-metastasis from breast cancer.</p><p><strong>Materials and methods: </strong>A systematic search of PubMed, Embase, and Cochrane Library was conducted for relevant studies. The search terms used included \"Breast Neoplasms,\" \"Liver,\" hepatic\" \"Metastasis\" \"Hepatectomy,\" \"Metastasectomy\" \"resection,\" and \"surgery.\" The primary outcome was overall survival (OS). Only studies published in English and studies that compared OS between patients that had metastasectomy and those that received systemic therapy were included.</p><p><strong>Results: </strong>Thirteen studies were included in the meta-analysis. The one year overall survival of patients who had surgery is superior to those who received systemic therapy only, with a risk ratio (RR) of 7.59 and <i>P</i> value of <0.00001. There is also a superior overall survival at 3 years after metastasectomy when compared with patients that received systematic therapy (RR = 2.83, <i>P</i> = 0.005). Five years is also superior, with RR of 2.78 and <i>P</i> value of 0.005.</p><p><strong>Conclusion: </strong>Hepatic metastasectomy in combination with systemic therapy is superior to systemic therapy alone in patients with breast cancer and oligo-metastasis of the liver.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 2","pages":"129-135"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Re: \"The Prevalence and Management Outcomes of Diverticular Disease in a Tertiary Facility in Ghana\".","authors":"Tshipuita Junior Lubanda, Henry David Schaeffer","doi":"10.4103/jwas.jwas_52_24","DOIUrl":"10.4103/jwas.jwas_52_24","url":null,"abstract":"","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 2","pages":"243"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrograde Urethrography and Voiding Cystourethrography: Indications and Findings in Patients Presenting with Lower Urinary Tract Symptoms in Jos, North-Central Nigeria.","authors":"Igoh Emmanuel Owoicho, Gabkwet Epga Anthony, Iyua Kuleve Othniel, Atsukwei Denen, Salaam Abdul Jimoh, Taiwo Yetunde Folake, Danjem Samuel Moses, Ahmed Dogara, Pam Stephen Daniel, Iroha Ugochukwu","doi":"10.4103/jwas.jwas_14_24","DOIUrl":"10.4103/jwas.jwas_14_24","url":null,"abstract":"<p><strong>Background: </strong>Urethrography is a radiologic procedure that optimizes imaging evaluation of the urethra, particularly in settings of difficulty with micturition or urethral injury. Urethrography remains the gold standard imaging tool, providing reliable and accurate diagnosis and staging of urethral stricture disease.</p><p><strong>Materials and methods: </strong>A 10-year review of patients' archive who had retrograde urethrography or combined urethrography examinations in a peripheral facility from January 2014 to December 2023 was carried out. A total of 247 patients with complete records who met the inclusion criteria were included in this study. Demographic data, clinical indications, and the imaging findings were documented. The data were collated, entered into a computer, and processed by the use of Statistical Package for Social Sciences (SPSS), version 23, to determine frequencies (means ± standard deviations). The results are presented using frequency tables and percentages as appropriate. A <i>P</i> value of <0.05 was considered statistically significant with a confidence interval of 95%.</p><p><strong>Results: </strong>The examination was normal in 89 (36.0%) patients. Urethral stricture was the commonest abnormality (44.5%) and commonly affects the bulbar urethra (70.9%). About 83.6% of the patients with stricture had 1-2 strictures while 16.4% had multiple urethral strictures. About 63.6% of patients with urethral strictures had short segment stricture, which was common at the bulbar urethra.</p><p><strong>Conclusion: </strong>Urethrography is an effective and cheap means of imaging the urethra mostly indicated on account of strictures and lower urinary tract symptoms. The urethral stricture is the commonest abnormal finding, which commonly affects the bulbar urethra.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 2","pages":"181-186"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}