Document Detail


Urologic disease in a resource-poor country.
MedLine Citation:
PMID:  23052811     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Understanding the role that urologic disease plays within central Haiti could lead to the development of sustainable and regionally appropriate urologic care. We aim to document the prevalence of urologic surgical disease presenting for treatment in central Haiti.
METHODS: The present study is based on a retrospective review of surgical case logs at five Partners in Health and Zanmi Lasante hospitals in central Haiti. Data were collected from June 30, 2009, through July 29, 2010, and included patient demographics, disease processes, interventions required, surgeon name, and surgeon training (urologic trained versus non-urologic trained).
RESULTS: Urologic surgical disease comprised 498/5,539 (9.0 %) of all surgical cases in central Haiti from July 2009-July 2010. A total of 492 diagnoses and 498 urologic procedures on 469 patients were recorded. Most common diagnoses included hydrocele (33.3 %), phimosis (23.0 %), benign prostatic hyperplasia (10.8 %), and cryptorchidism (7.3 %). Hydrocelectomy was the most commonly performed procedure (160/498, 32.1 %), followed by circumcision (117/498, 23.4 %) and open prostatectomy (38/498, 7.6 %). Surgeon training (urologic versus non-urologic) was determined for 360/498 (72.3 %) of surgical cases. Urologic trained surgeons performed 55/360 (15.3 %) of all surgical procedures. Among patients who underwent prostatectomy, urology surgeons performed 14/31 (45.2 %) of open prostatectomies, and non-urology surgeons performed 17/31 (54.8 %). Urologists performed all transurethral resections of the prostate (9 vs. 0; p = 0.0051).
CONCLUSIONS: Urologic surgical diseases comprise a substantial source of morbidity for patients in central Haiti. Understanding the scale and scope of urologic disease is important in developing health systems to adequately address the regional burden of surgical disease in limited-resource settings.
Authors:
Marc Manganiello; Christopher D Hughes; Lars Hagander; David Bayne; Jean Hamiltong Pierre; Jill C Buckley; John G Meara
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of surgery     Volume:  37     ISSN:  1432-2323     ISO Abbreviation:  World J Surg     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-24     Completed Date:  2013-07-12     Revised Date:  2013-10-02    
Medline Journal Info:
Nlm Unique ID:  7704052     Medline TA:  World J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  344-8     Citation Subset:  IM    
Affiliation:
Institute of Urology, Lahey Clinic, 41 Mall Road, Burlington, MA 01805, USA. Marc.d.manganiello@lahey.org
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Cost of Illness
Developing Countries
Female
Genital Diseases, Male / epidemiology*,  surgery
Haiti / epidemiology
Humans
Infant
Infant, Newborn
Male
Middle Aged
Nephrolithiasis / epidemiology,  surgery
Prevalence
Retrospective Studies
Urinary Bladder Calculi / epidemiology,  surgery
Urologic Diseases / epidemiology*,  surgery
Urologic Surgical Procedures / statistics & numerical data*
Young Adult
Comments/Corrections
Comment In:
World J Surg. 2013 Sep;37(9):2248-9   [PMID:  23539196 ]
World J Surg. 2013 Sep;37(9):2250-1

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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