Browsing by Author "Okpara, Enoch"
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Item Current features of urethral mucosa prolapse among children in Ilorin, Kwara State, Nigeria(The Nigerian Journal of General Practice, 2014-03) Adeniran, Abiodun; Okpara, Enoch; Fawole, Adegboyega; Ijaiya, Munirdeen; Abdul, Ishaq; Adesina, Kikelomo; Ezeoke, GraceSetting: Urethral mucosa prolapse is a benign gynaecological condition which is commoner among young black children. Objective: To evaluate the presentation, management, outcome and current status of urethral mucosa prolapse at atertiary centre. Design/ methods: A retrospective descriptive study of49 patients managed at the Obstetrics and Gynaecology department of the University of Ilorin Teaching Hospital, Ilorin. The case files of all patients who were managed from 1st January 2001 to 31st December 2010were retrieved from the medical records department and relevant information extracted. the results were expressed in tables and compared with an earlier study from the centre. Results: A total of 49 patients were managed, the prevalence of urethral mucosa prilapse 1.3% of all gynaecological admissions; all were Nigerians aged 3 to 12 years. The commonest presenting complaint was blood stain on underwear in 37[75.5%], 28[57.1%] presented with multiple symptoms and 32[65.3%] had failed medical treatment prior to presentation. Surgical management was 100% successful, minor post operative complications occurred in eightpatients [16.6%] and the commonest was urinary retention in 5[10.2%] patients. The results were generally similar to a previous study conducted a decade earlier in this centre. Conclusion: Urethral mucosa prolapse is not a common conditioninthis environment; medical and conservative management with higherfailure should be discouraged while surgical management which was curative with no longterm complication is highly recommened as the treatment choice.Item Pregnancy outcome in Cervical Incompetence : Comparison of outcome before and after intervention(Society of Gynaecology and Obstetrics of Nigeria, 2014-04) Adeniran, Abiodun; Aboyeji, Peter; Okpara, Enoch; Fawole, Adegboyega; Adesina, KikelomoContext: Cervical incompetence is a major cause of recurrent mid-trimester pregnancy loss and preterm deliveries; it contributes significantly to fetal loss and neonatal morbidity and mortality. Despite its wide use, the effectiveness of cervical cerclage in its management remains unsettled. Objective: To evaluate the effectiveness of cervical cerclage by comparing the pregnancy outcome before and after its insertion in women with cervical incompetence. Study design: An observational study [retrospective] of 95 women diagnosed with cervical incompetence that had cervical cerclage inserted from 1st January 2007 to31st December 2010. The pregnancy outcome before and after cervical cerclage were compared, the data was analyzed using SPSS version 18; p value <0.05 was considered significant. Main outcome measure: The gestational age at the end of pregnancy, the duration of prolongation of the pregnancy after cervical cerclage and the pregnancy outcome. Results: Of 103 cases of cervical incompetence managed, 95 satisfied the inclusion criteria. The prevalence of cervical incompetence was 8.4/1000 deliveries or 0.85%. There were 85 elective and 10 emergency cerclage with mean gestational age at end of pregnancy of 36.06±3.96 vs. 25.10±3.99 and mean duration of prolongation of pregnancy 20.98±4.71 vs. 4.00±3.37 weeks. After cervical cerclage insertion, there was reduction in miscarriages [P<0.0001] and preterm deliveries [P<0.0001] and increase in term deliveries [P=0.4100] and viable pregnancies [P=0.001]. The child take home rate was 89.4% following elective and 20% after emergency cervical cerclage. Conclusion: Cervical cerclage resulted in improved pregnancy outcome in women with previous midtrimester losses or preterm delivery.