Abolarinwa Abimbola Ayodeji, Ojewuyi Olufemi O, Solarin Adaobi U
Department of Surgery, College of Medicine, Lagos State University, Ikeja, Lagos State, Nigeria.
Department of Surgery, Ladoke Akintola University Teaching Hospital, Osogbo, Osun State, Nigeria.
Niger Postgrad Med J. 2020 Apr-Jun;27(2):132-135. doi: 10.4103/npmj.npmj_182_19.
Paediatric urology is one of the subspecialities of urology, and in most climes, it is practised by the urologists and paediatric surgeons, and likewise in the Lagos State University Teaching Hospital (LASUTH). The urologists see and manage most of these cases in LASUTH. There has been no formal training in this subspeciality. However, both the urologists and paediatric surgeons in LASUTH have acquired some measure of skill and experience over time by virtue of the relatively high volume of the cases seen. This study is aimed at reviewing the practice of paediatric urology in the urology division of LASUTH and to advocate for formal training in an otherwise rare but direly needed subspeciality.
The ports of entry of paediatric patients with urologic conditions were assessed retrospectively over a 5-year period (2014-2018). The paediatric age range based on the Lagos State Government policy for health care is from birth to 12 years old. The ports of entry included the urologic outpatient department, paediatric and the adult surgical emergency units and the paediatric wards. Patients referred to and managed by the paediatric surgery division were excluded from this study.
The total paediatric urology cases seen and managed by the urologist in LASUTH within the period of review were 421. A total of 363 paediatric urology cases were seen during the period under review, making up 7.96% of the urology cases seen at the surgical outpatient department. The most common cases managed were hypospadias, posterior urethral valves and hydronephrosis. A variety of other cases include priapism, circumcision and post-circumcision injuries, urethral prolapse, testicular torsion, cystic renal dysplasia, disorder of sexual differentiation and several others. Three hundred and seven surgical procedures were done in the period of review on 272 (64.6%) patients.
There is a need for subspecialisation in paediatric urology to harness more specialists with a specific focus, training and interest in children and their urological conditions.
小儿泌尿外科是泌尿外科的亚专业之一，在大多数地区，由泌尿外科医生和小儿外科医生从事该领域工作，拉各斯州立大学教学医院（LASUTH）也是如此。在LASUTH，大多数此类病例由泌尿外科医生诊治。该亚专业尚无正规培训。然而，LASUTH的泌尿外科医生和小儿外科医生凭借所诊治病例数量相对较多，随着时间推移积累了一定的技能和经验。本研究旨在回顾LASUTH泌尿外科小儿泌尿外科的诊疗实践，并倡导对这一虽罕见但急需的亚专业进行正规培训。
对5年期间（2014 - 2018年）患有泌尿系统疾病的小儿患者的入院途径进行回顾性评估。根据拉各斯州政府的医疗保健政策，小儿年龄范围是从出生到12岁。入院途径包括泌尿外科门诊、儿科及成人外科急诊室和儿科病房。本研究排除了由小儿外科科室转诊和诊治的患者。
在回顾期间，LASUTH的泌尿外科医生诊治的小儿泌尿外科病例总数为421例。在回顾期间共诊治了363例小儿泌尿外科病例，占外科门诊所见泌尿外科病例的7.96%。诊治的最常见病例为尿道下裂、后尿道瓣膜和肾积水。其他各类病例包括阴茎异常勃起、包皮环切术及包皮环切术后损伤、尿道脱垂、睾丸扭转、囊性肾发育不良、性分化障碍等。在回顾期间，对272例（64.6%）患者进行了307例外科手术。
小儿泌尿外科需要专科化，以培养更多专注于儿童及其泌尿系统疾病、具备特定培训和兴趣的专科医生。
