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Annals of African Surgery

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The morbidity and mortality of surgically treated urological patients in a tertiary centre in western Kenya

P Musau

Abstract


Objective: To determine the morbidity and mortality of surgically treated urological patients at Moi Teaching and Referral Hospital (MTRH) and compare them with those of other tertiary centres.
Design: A fi ve year hospital based, retrospective study reviewing files of patients who underwent surgery for urological problems in MTRH for the period 1st January, 2005 to 31st December, 2009.
Setting: The records department of Moi Teaching and Referral Hospital, a 750 bed capacity hospital in the Western region of Kenya.
Subjects: Four hundred and twenty patients whose fi les were complete for the sought data.
Main outcome measures: The primary outcome measures were the morbidity and mortality rates. Morbidity was depicted by the postoperative complications and hospital length of stay. The secondary outcome measures were patient demography, the type of surgery and the duration of surgery.
Results: The male to female ratio was 13.5:1 with 49% of all the patients being older than 50 years. Seventy-seven patients (18.3%) had co morbid diseases with hypertension (22.5%), diabetes mellitus (14.3%) and Human Immunodefi ciency Virus (HIV) infection [7.8%] as the top three conditions. The top three procedures were prostate, urethral and bladder surgeries. The morbidity and mortality rates were 5.5% and 1.2% respectively.
Conclusion: While prostate disease remains the leading urological problem, urethral strictures are signifi cantly higher than in the other reviewed regions. Co morbidities amenable to preoperative interventions and a relatively younger population make our morbidity and mortality rates acceptably low compared to other tertiary centres.



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