Browsing by Author "Ahmed M"
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Item Benign prostatic hyperplasia in a 23year old man with progeroid syndrome(2018) Ahmed M; Lawal AT; Bello A; Abubakar A; Maitama HYIntroduction Progeroid syndromes are characterized by accelerated aging and early development of diseases typically associated with aging. Premature development of tumors including BPH, maybe observed in these patients, which can lead to significant bladder outlet obstruction. Observation The index patient was a 23year old man who presented to us with lower urinary tract symptoms (LUTS), features of obstructive nephropathy and was noticed to have been aging rapidly. He had features of premature aging, bilateral cataract and enlarged benign prostate (BPH). He eventually succumbed to obstructive nephropathy and urosepsis. Conclusion Progeroid syndromes may be associated with premature development of obstructive BPH.Item Socio-demographic correlates of psychological distress among male patients with infertility in Zaria, Nigeria(2012) Yusuf AJ; Maitama HY; Amedu MA; Ahmed M; Mbibu HNObjectives To determine the level and socio-demographic correlates of psychological distress among males with infertility. Subjects and methods This cross-sectional descriptive study involving males with infertility was carried out at the Ahmadu Bello University Teaching Hospital, Zaria, Nigeria between June and December 2011. The respondents were initially evaluated using the Hospital Anxiety and Depression Scale (HAD) and a sheet designed for the collection of socio-demographic data. Patients who scored above the cut-off points of HADS were further interviewed using the Mini International Neuropsychiatry Interview (MINI) depression and anxiety module. Data obtained from the study were analyzed using the Statistical Package for Social Sciences for Windows, version 15. All tests of significance were carried out at a 5% level of probability. Results A total of 81 respondents with a mean age of 35.1±6.7years participated in the study. 56 (69.1%) had a formal education. The mean number of years of education was 8.5±6.0. More than 50% of the respondents had received unorthodox treatment for infertility, and about 35% had a previous history of sexually transmitted infection (STI). 26 (32.1%) patients scored above the cut-off points of HADS. Psychological distress was found in 23 (28.4%), 14 (17.3%) patients were found to be depressed, while 9 (11.1%) had a generalized anxiety disorder. Psychological distress was significantly associated with a history of marital divorce (χ2=24.99, p=.001). Conclusion Male infertility is associated with psychological distress in Nigeria and the rate is comparable to that of other parts of the world.Item Spectrum of urological emergencies and surgical interventions in a single tertiary health center(2021) Hamza BK; Ahmed M; Tolani MA; Awaisu M; Lawal AT; Oyelowo N; Bello A; Maitama HYObjectives Emergency urologic conditions are relatively common, albeit rarely life threatening, there is often a need for prompt and expedient management in order to avert severe or permanent morbidities. This study aimed to evaluate the spectrum of Urologic emergencies and interventions offered in a tertiary hospital in Nigeria. Patients and methods We retrospectively reviewed the records of patients who were managed in our institution for emergency urologic conditions over a period of 6 years (2011–2017). The data extracted included; the demographic information, diagnosis and the treatment offered. The data obtained were analyzed using SPSS version 20. Data were displayed using mean +/− standard deviation and percentages. Results The records of a total of 681 patients were retrieved and they span across almost all ages with age range or 2–90 years. Urinary retention was the commonest emergency seen, accounting for 51.7% of the patients. Testicular torsion was the next most common (10%), others are bilateral ureteric obstruction and priapism with 5.4% and 5.3% respectively. Suprapubic cystostomy (SPC) was the commonest operative procedure performed (37.6%). The age range for patients with urinary retention was 3–90 years, though the peak incidence was in the 7th decade (37.3%). Patients with testicular torsion were young adults between the ages of 11 and 44 years. Conclusion Urinary retention was the commonest urologic emergency followed by testicular torsion. Though urethral catheterization was successful in most patients urinary retention, making it the commonest procedure. SPC was the commonest emergency operative procedure performed. Other emergencies occurred sporadically.