Urology therapeutics on good tracks in Surgical Outreach

CHUK Surgical outreach program turning more and more to sub-specialties

When it comes to reveal the goodness of surgical outreach program the last five years at The University Teaching hospital of Kigali, it started with general surgery and orthopedic surgery and extended progressively to diverse sub-specialties including Urology: In surgical outreach at least 7 to 10 patients are treated at daily basis from Urethral stenosis and PPV Congenital Hydro seal especially for children , Hernia Undescendent testis but also for sexagenarians the treatment of prostate cancer is frequent what has been the success story; screening all the cases and prepare adequate materials for surgical outreach is more and more improving the diagnosis protocol and urology therapeutics maximized.

Urologist Surgeons at Work Gisenyi Hospital

The mindset behind the surgical outreach is to serve the population…
The good sounding aspect is the arrival of new cases not diagnosticated before the outreach which can be handled in inreach surgical programs at CHUK so the long waiting list is no longer a burden.
Rwanda has develop the equipment required only the how to do and advanced training to utilize available equipment said a seven years experienced urologist surgeon Doctor Alex Bonane. At least 10 urologist specialists are delivering surgical healthcare precised Dr Alex Bonane proud to share his own skills transferring as long as the number is increasing the last decade but could be better to have at least an urologist doctor in each hospital.

Urologist surgeon Doctor Alex Bonane with Sister Dancilla Nyirasebura matron of surgical theatre

Sister Dancilla Nyirasebura matron of surgical theatre and Intensive care unit said that the outreach could be organized twice a month so many cases may be treated as needed as expected but available budget to run multiple outreach camps need to be increased.
Coming back to definitions to understand urological pathologies

• A hydrocele is a buildup of watery fluid around one or both testicles. It causes the scrotum or groin area to swell. A congenital hydrocele is one that a baby is born with. The swelling from a hydrocele may look scary, but it is usually not a problem. A hydrocele usually goes away on its own before a boy’s first birthday within six to 12 months of age. The doctor can remove a hydrocele in a brief operation called a hydrocelectomy typically known as the gold standard for the treatment of hydrocele
• • An undescended testicle (cryptorchidism) is a testicle that hasn’t moved into its proper position in the bag of skin hanging below the penis (scrotum) before birth. Usually just one testicle is affected, but about 10 percent of the time both testicles are undescended. How serious is an undescended testicle? If the testicles don’t drop into the scrotum, they may not function normally and produce healthy sperm. This can lead to infertility later in life. Males born with undescended testicles also have a higher risk of testicular cancer in adulthood
• For Prostate Cancer following 5 warning signs are bone pain, compression of the spine, Painful urination, erectile dysfunction, and blood in the urine. To know having or not Prostate Cancer; Prostate screening tests might include: Digital rectal exam (DRE). During a DRE , your doctor inserts a gloved, lubricated finger into your rectum to examine your prostate, which is adjacent to the rectum. If your doctor finds any abnormalities in the texture, shape or size of the gland, you may need further tests. However good lifestyle including diet and physical exercise tips may prevent prostate illness.

The Medical Director at Gisenyi Hospital Chief Superintended of Police CIP Doctor Oreste Tuganeyezu (up picture) arguing at the efforts done to deliver quality healthcare emphasized on the good tracks of the surgical outreach program, Policy and Procedures, the good internal interaction to cooperate, work for good results and customer oriented, Continuous capacity building as structured buy the MOH…Set proper mechanism to work with partners and different stakeholders…
But also remarked the lack of adequate medical equipment and specialized staff to run properly the district hospital medical activities package but also required infrastructures not necessarily responding to the norms established.
The knowledge and awareness of the population vis a vis to healthcare ergonomics is a alert to healthcare providers to increase the quality of healthcare services as the demand of expected services is somehow challenging the current healthcare disposal from the waiting time. The treatment itself including diagnosis treatment and the explanations given to particular treatment including drugs package and his own participation.
Proud of the surgical outreach program, the Medical Director at Gisenyi Hospital said that unexpected healthcare services are being delivered where the number of beneficiaries is increasing from 130 to 150 each medical camp; Skills transfer being an opportunity not to miss but also money generated during the camp and the healthcare promotion in general. Intensifying the outreach programs 4 times in each hospital may help more to treat the population he insisted.
Prevention aspects thru radio and TV talk shows is mandatory said doctor Oreste T. Comprehensive package including treatment and prevention of particular diseases. The media partnership could be more focused to the win win health education and health contents in broadcasting stations.

By Pascal Mbuguje