Seminal fluid changes after testicular torsion.

A study was undertaken to determine the changes in the seminal fluid of adult patients presenting with unilateral testicular torsion. There was beneficial effect from excising an infarcted torsive testis and a deleterious effect from retaining it.

Unusual relationship of multiple renal arteries.

An unusual cross relationship of two left renal arteries was demonstrated angiographically during the investigation of a young man presenting with painless, total hematuria after a traffic accident. The upper pole artery arose from the aorta caudal to the lower pole artery. In the absence of a malrotation a possible embryologic cause has been advanced. It also highlights the advantage of combining selective renal arteriography with aortography when multiple renal arteries are encountered.

Hepatic resection in primary liver carcinoma: prolonged survival in two Nigerian patients.

Two Nigerian patients with primary liver carcinoma (PLC) who had wedge resection with prolonged survival are described. The localization of their tumors to the right hepatic lobe and their polypoidal nature were favorable factors that allowed early detection and treatment.The surgical treatment of PLC is reviewed. It is suggested that suitable African patients with PLC be offered resection as a modality of treatment coupled with adequate follow-up to detect and deal with recurrence early.

Ectopic pregnancy in a rural practice.

A 13 year retrospective review of 117 cases of rupture ectopic pregnancy presenting in a rural practice in Oyo State, Nigeria was conducted to determine the clinical pattern and management modalities in this common gynaecological emergency. It showed that the incidence was low due to a low incidence of pelvic inflammatory disease at laparatomy. Autotransfusion and application of appropriate technology in health care delivery played a dominant role in the management of the patients. The mortality rate of 5.9% is still high. Identified contributory factors such as ignorance and inadequate social infrastructure need government intervention to reduce the death rate.

Aetiologic factors of male infertility in Ibadan, Nigeria.

In a retrospective review of the case notes of 510 infertile men, testicular failure of various types was the aetiologic factor in 61% of cases, chronic epididymitis in 32% and varicocoeles in 25%. Five patients had bilateral absence of the vas deferens. It is hoped that improved health-care delivery will benefit the group of patients with preventable and potentially curable aetiologic factors like varicocoeles, chronic epididymitis and testicular torsion.

Transrectal biopsy of the prostate: a review of 186 biopsies.

A retrospective review of 186 transrectal needle biopsies of the prostate has revealed that repeated use of the TruCutTM needle until it is ineffective does not affect its accuracy. A diagnostic correlation of 96% between the clinically malignant prostate and histopathologic diagnosis was achieved. This correlation was 10.5% with benign prostatic hypertrophy associated with a suspected malignant nodule. Minimal rectal haemorrhage complicated the procedure in 5.9% of cases. No other complication was documented.

Recovery of renal function after 33 days of complete bilateral ureteric obstruction.

Bilateral ureteric ligation is a rare complication of hysterectomy. We report a case of prompt recovery of renal function following release of bilateral ureteric ligation persisting for 33 days.