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Papers by Muhammad Ujudud musa

Colovaginoplasty for a Patient with Mayer-Rokitansky-Kuster-Hauser’s Synderome (Mrkh) our Experience in Federal Medical Center Katsina, 2019

Colovaginoplasty is a rewarding surgical procedure in returning the social life of the patient wi... more Colovaginoplasty is a rewarding surgical procedure in returning the social life of the patient with Mayer-Rokitansky-Kuster-Hauster's syndrome, as it happens to our patient with the rare congenital absent vagina now happily married, after we did the successful surgery in our center.

Tips and Tricks in the Management of Megameatus Intact Prepuce Variant of Hypospadias: A Review Article, 2023

Introduction: Hypospadias is congenital anomalies with various spectrum and variants, presenting ... more Introduction: Hypospadias is congenital anomalies with various spectrum and variants, presenting with abnormal urethral meatus short of the native tip of the glans. megameatus intact prepuce is a rare variant of glanular hypospadias seen in about 3-6 % of hypospadias cases. The main features of megameatus intact prepuce are large urethral external meatus with deep with deeply grooved glans penis and the preputial skin is usually present and intact with no chordae. Seven named procedures for megameatus intact prepuce were discussed. Methodology: We use the following search engines for out study where we found the following articles and reviews as follows in Scopus search, we found 26 articles, in AJOL we there were 7 articles and in PubMed Central Search we found 32 articles, then in Google scholar the search revealed 388 articles, 45 articles were reviewed and summarised and 7 established procedures were discussed. Results: Seven named established procedures for megameatus intact prepuce variant of hypospadias were summarized and discussed and include Pyramid Procedure, Glanular Approximation Procedure, Tubularised Urethral Plate Urethroplasty, Tubularised Incised Urethral Plate Procedure, Mathieu Technique, Cutaneous advancement procedure and The Inframeatal Vascularised Flap Procedure. DISCUSSION: The Surgical procedures for repair of megameatus intact prepuce is technically challenging not only for the surgeon but the anesthethiogist alike because the patients are paediatric with small organs, therefore appropriate instruments and proper timing of the surgical intervention is paramount. Duckett and Keating et al in their study identified the first challenge is to identify those patients who truly need surgical repair. In a study by Marc Cendron et al they found out that the features identified as important in the decision-making process were (1) meatal opening close to or below the coronal margin; (2) A deep glans cleft; (3) a wide, splayed-out glans; and (4) an abnormal urinary stream if witnessed. in a study by Duckett JW, Keating MA, Hatch DA et at and Austin Hill G, Wacksman J they reported a satisfactory outcome with the various described surgical procedures. Conclusion: The tip and tricks of the surgical procedures of megameatus intact prepuce rare variant of hypospadias is a review article to aimed to improve on the surgical outcome including normal conical appearance of the glans, a urethral meatus of normal caliber, and a single, normal urinary stream with no symptoms and to minimise the complications such as urethrocutenous fistula as extracted from the expert's vast experience and modifications of the existing techniques, in our study we summarised the experts seven established techniques and the modifications to achieve the desired objectives.

Intractable Hematuria when the Chips are Down Treatment Options (Review), 2019

Introduction: Hematuria is the presence of blood in the urine and more than or equals to 3 red bl... more Introduction: Hematuria is the presence of blood in the urine and more than or equals to 3 red blood cells (RBCs) per high power field and intractable hematuria is recalcitrant to conventional saline bladder irrigation for treatment. Materials and Methods: The literature search was done on Google Scholar, African Journal On-line (AJOL), and PubMed search engines using the words management of intractable Hematuria. Results: Management of intractable hematuria includes some of the following; bladder irrigation with formalinized saline, alum irrigation, hyperbaric oxygen, Radiofrequency Ablation, sodium pentosulfan polysulfate, prostaglandins, hydrostatic distention, selective Transarterial embolization (TAE) and Palliative cystectomy. Conclusion: Presence of intractable hematuria can be very frightening, disturbing, debilitating and daunting situation to address and hence the need to keep abreast with paraphernalia of maneuvers available to treat this category of patients.

Global Practice Patterns in the Evaluation of Non-Obstructive Azoospermia: Results of a World-Wide Survey and Expert Recommendations, 2024

Purpose: Non-obstructive azoospermia (NOA) represents the persistent absence of sperm in ejaculat... more Purpose: Non-obstructive azoospermia (NOA) represents the persistent absence of sperm in ejaculate without obstruction,
stemming from diverse disease processes. This survey explores global practices in NOA diagnosis, comparing them with
guidelines and offering expert recommendations.
Materials and Methods: A 56-item questionnaire survey on NOA diagnosis and management was conducted globally from
July to September 2022. This paper focuses on part 1, evaluating NOA diagnosis. Data from 367 participants across 49 countries
were analyzed descriptively, with a Delphi process used for expert recommendations.
Results: Of 336 eligible responses, most participants were experienced attending physicians (70.93%). To diagnose azoospermia
definitively, 81.7% requested two semen samples. Commonly ordered hormone tests included serum follicle-stimulating
hormone (FSH) (97.0%), total testosterone (92.9%), and luteinizing hormone (86.9%). Genetic testing was requested by
66.6%, with karyotype analysis (86.2%) and Y chromosome microdeletions (88.3%) prevalent. Diagnostic testicular biopsy,
distinguishing obstructive azoospermia (OA) from NOA, was not performed by 45.1%, while 34.6% did it selectively. Differentiation
relied on physical examination (76.1%), serum hormone profiles (69.6%), and semen tests (68.1%). Expectations of
finding sperm surgically were higher in men with normal FSH, larger testes, and a history of sperm in ejaculate.
Conclusions: This expert survey, encompassing 367 participants from 49 countries, unveils congruence with recommended
guidelines in NOA diagnosis. However, noteworthy disparities in practices suggest a need for evidence-based, international
consensus guidelines to standardize NOA evaluation, addressing existing gaps in professional recommendations.

Ureterovaginal Fistula: Aetiological Factors and Treatment Outcome., 2018

Background: Ureterovaginal fistula commonly occurs as a result of complication of pelvic surgerie... more Background: Ureterovaginal fistula commonly occurs as a result of complication of pelvic surgeries with gynaecologic surgeries accounting for approximately two thirds. It is one of the most feared complications of pelvic surgery. Objectives: This study aims to determine the aetiological factors, role of ultrasound in the confirmation of dignosis and outcome of surgical repair of ureterovaginal fistula at the National Obstetric Fistula Centre, Katsina (NOFIC). Methods: This was a two-year retrospective review of all cases that underwent surgical repair for ureterovaginal fistula at the National Obstetric Fistula Centre Babbar Ruga, Katsina from 1st Jan, 2016 to 31st Dec, 2017. Result: A total of 27 patients had surgery for ureterovaginal fistula during the study period. However only 25 case notes were eligible for data entry and analysis. The mean age of the patients was 29.88 ± 8.53 with a modal parity of one. Eighty-eight percent presented with history of leakage of urine per vagina following emergency caesarean section, caesarean hysterectomy in 8%, prolonged obstructed labour in 8% and gynaecological hysterectomy in 4%. The onset of leakage varied from 2 to 10 days with a mean duration of onset of 5.64 ± 1.70. In addition to the ureterovaginal fistula, 3 had vesicouterine (VUF) fistula and 1 had vesicocervicovaginal (VCVF) fistula. The fistula was bilateral in 2 of the patients. The fistulae involved the left ureter in 13 patients and the right ureter in 10. Abdominal ultrasound was the main means of confirmation of diagnosis. Abdominal reimplantation of the ureter was the most common (88%) treatment approach. Majority 88% (22/25) were healed and continent at discharge. Conclusion: Emergency caesarean section was found to be commonest aetiological factor and the use of abdominopelvic ultrasound was found to be effective in the confirmation of diagnosis and identifying the affected ureter.

Journals of Clinical Cases & Reports, Apr 30, 2018

International journal of dental and medical specialty, 2014

Cryptorchidism (translated hidden testis) is the most common genital abnormality of childhood, re... more Cryptorchidism (translated hidden testis) is the most common genital abnormality of childhood, refers to the incomplete descent of the testicle into dependent scrotum. The undescended testicles (UT) can be located anywhere along the path of regular descent between the kidney and just outside of scrotal inlet. It is also known as UT because the majority of testicles that do not migrate completely into the scrotum by birth can be palpable in different areas like in the inguinal region. It affects approximately 30% of baby boys born prematurely and about 4% born at term. As a baby boy grows inside mother's womb, his testicles are typically formed inside his abdomen and move down (descend) into the scrotum shortly before birth. However in some cases, that move or descent does not occur, and the baby is born with a condition known as UT (or cryptorchidism). Almost 1 in every 100 male children born will have an empty scrotum. It may be on one side or both sides of the scrotum.

Highlights on Medicine and Medical Science Vol. 2

Introduction: Hypospadias is a continuum of different variants, and ... more Introduction: Hypospadias is a continuum of different variants, and megameatus intact prepuce (MIP) is an uncommon form of glandular hypospadias seen in around 3-6% of hypospadias. Surgical options in the management of megameatus intact prepuce depends on multiple scenarios and is multifactorial, hence the different surgical options with different outcomes. The aim of this article is to review the surgical management options of these rare variant of hypospadias called megameatus intact prepuce. Materials and Methods: We look for information on the following platformsGoogle Scholar, PubMed Central (PMC), PubMed, AJOL and EMBASE for articles on Megameatus intact prepuce, and the last search was on 14th May, 2021, using the keywords surgical management options of megameatus intact prepuce and the relevant articles were reviewed to extract the surgical options of managing megameatus intact prepuce variant of hypospadias from the experts. Results: The surgical management of MIP is aimed at restoring function and cosmesis, and several surgical techniques, including the glanular approximation procedure (GAP), the pyramid procedure, the cutaneous advancement procedure, the tubularised incised plate (TIP), the tubularised Urethral Plate Urethroplasty (TUPU), the Mathieu technique, and the subcutaneous frenulum flap with many modifications, have been described. Discussion: MIP is rare and was first described by Juskiewenski and co in 1983, several researchers have reported on various surgical treatment options with varying results,, Elbatarny et al observed GAP in seventeen patients with MIP over a five-year span in 2011, with an excellent outcome in 14 patients and a subjective score of 1 in two patients, with one patient expressing disappointment with the outcome. M. Sanal et al. identified an excellent outcome in seven cases with GAP. Conclusion: The surgical management options for megameatus intact prepuce are many, with var [...]

Journal of urology and renal diseases, 2019

Issues and Developments in Medicine and Medical Research Vol. 2, 2022

African Journal of Urology, 2021

Background Fournier’s gangrene and trauma to the external genitalia are the commonest causes of p... more Background Fournier’s gangrene and trauma to the external genitalia are the commonest causes of peno-scrotal wound defects in our environment. The management of these patients includes initial resuscitation and subsequent wound care with or without wound cover. The aim of this study is to document our experience in the management of peno-scrotal defects in a tertiary hospital of North-Western Nigeria. Methods This is a 20-year retrospective study of patients managed for peno-scrotal wound defects by the Urology Unit in the Department of Surgery of our hospital from January 2001 to December 2019. Data were collected from the patients’ case notes and entered into a proforma. Data were analysed using SPSS version 25.0. Results A total number of 54 patients with peno-scrotal wound defects were managed within the study period with the mean age of 46.27 ± 22.09 years and a range of six weeks to 107 years. The wound defects were sequelae of Fournier’s gangrene in 42 patients (77.8%) and tr...

Intellectual Discourse, 2015

This study identifies the role that Bank Negara Malaysia plays in regulating imprudent consumptio... more This study identifies the role that Bank Negara Malaysia plays in regulating imprudent consumption. In doing so, the author reviews the Guidelines on Responsible Financing introduced by the Bank in 2012 to regulate the consumer credit market. Since consumers are highly dependent on credit to purchase what they desire, the Bank tightened lending procedures. The author also argues that despite the claimed ethical superiority of Islamic finance, there is no apparent difference when it comes to providing loans (or rather financing) to consumers. The findings of this study suggest that such procedures reduced the growth of household borrowing and consumer loans/ financing. As such, the study concludes that Bank Negara Malaysia has an effective role to play in limiting the negative effects of imprudent consumption.

Annals of Clinical and Experimental Medicine, 2020

Background: A uropathogen is a microorganism capable of causing urogenital tract infection (UGI).... more Background: A uropathogen is a microorganism capable of causing urogenital tract infection (UGI). The most common uropathogens are Escherichia coli, Pseudomonas aeruginosa, Proteus mirabilis and Klebsiella pneumonia. They lead to UGI in patients with urinary tract obstruction, indwelling catheter/stent, elderly and patients with immunosuppression. There is increasing resistance to commonly used antibiotics due to empirical misuse of antibiotics The objective of this study is to document pattern of uropathogen and their antibiotics susceptibility in our hospital. Materials and methods: This is a retrospective study of consecutive urological patients with features of urinary tract infection (UTI) in our hospital from June 2017 to June 2018. Data was collected using a semi-structured proforma and analysed using SPSS version 20.0 for windows. Results were reported in percentages and mean ± standard deviation. Results: There were 126

International Journal of Dental and Medical Specialty, 2015

Circumcision is the surgical removal of the prepucial skin of the penis, some of the complication... more Circumcision is the surgical removal of the prepucial skin of the penis, some of the complications of traditional circumcision includes; sepsis, genital mutilation, redundant prepuce, gangrene of penis, excessive bleeding, penile amputation or urinary retention, others include loss of penile sensitivity, metal stenosis, and urethrocuteneous ﬁstula. Among the documented complications we did not come across complete degloving of the penile skin, as we found in this 5-year-old patient, who had traditional circumcision with application of some concoction on the penis leading to sloughing of the entire penile skin. A case report of 5-year-old Hausa Muslim boy who after penis skin avulsion presented with a 5 days history of a penile swelling and pain with discharge of purulent material, following a traditional circumcision and application of a concoction on the penis. Examination revealed acutely ill looking boy who was crying warm to touch, he has a degloved penis with sloughs and purulent discharge, the external urethral meatus was partly covered by crust and blood clots, no active bleeding and a diagnosis of post-circumcision degloved penis was made and patient was admitted. Patient was planned for reconstruction and penile coverage with split thickness skin grafting which he had on 5th day of admission, he was placed on parenteral antibiotics, analgesic, and intravenous ﬂuids and graft site was dressed with Vaseline gauze and he was discharged on 7th day post-operative.

Clinical Case Reports, 2016

Traumatic penile amputation is a serious urological emergency, although rare whenever it happens,... more Traumatic penile amputation is a serious urological emergency, although rare whenever it happens, there is a need to refer the patient early to urologist within 24 h, with the stump wrapped in saline; unfortunately, our patient presented late and as such could not benefit from penile reimplantation.

Clinical Case Reports, 2016

Histopathological Pattern of Prostatic Lesions in Kano, Northwestern Nigeria: A 14‑Year Review, 2019

IntroductIon Prostatic lesions are among the foremost afflictions of aging men worldwide. Their n... more IntroductIon Prostatic lesions are among the foremost afflictions of aging men worldwide. Their neoplasm among the middle aged and elderly has the highest prevalence. [1] Nodular hyperplasia rank first in the prevalence among these lesions and is seen in about a fifth of men at 40 years of age, 70% at 60 years of age, and up to 90% at 80 years of age. [2] In addition, analysis of inpatient care in a West African urology center revealed that 44.24% was for nodular hyperplasia treatments and of its complications. [3] A 10-year retrospective appraisal of the cancer catalog in Kano affirmed prostate cancer as the most common male cancer. [4] Separate studies also attested to a rising rate of prostate cancer with the potential of merging with current endemic infections and infestation as a principal public health dilemma in the developing world. [1,5] Prostatic intraepithelial neoplasia (PIN), perchance the predecessor to prostatic carcinoma, is credited with the concept of the multistep carcinogenesis of prostate cancer. PIN is classified as low-grade PIN and high-grade PIN. [6] Prostatitis occurs in nearly 10%-15% of adult males and can coexist with nodular hyperplasia. It can be categorized as acute or chronic, specific or nonspecific, and granulomatous prostatitis. [2] The above peculiarities of prostatic lesions plus their preponderance in the instances of obstructive uropathy, Background: Prostatic lesions are major afflictions of the aging men worldwide. High prevalence of prostatic neoplasm among the aged, their high incidence in the instances of obstructive uropathy, and many other complications with ensuing morbidity and mortality earn them a unique urologic placement. The epidemiological appraisals on the histology of prostatic lesions among men in Kano are not conclusive. The aim of this study was to review the spectrum of prostate lesions diagnosed with histopathology in Kano. Methodology: This was a retrospective review of histologically diagnosed prostatic lesions at Aminu Kano Teaching Hospital, Northwestern Nigeria, from 2005 to 2018. The data collated and analyzed were the age of patients and histological diagnoses. Summaries of these results were shown as mean of patients' age, patients' age range, frequency distribution tables, and some photomicrographs of the lesions. Results: A total of 4292 prostatic specimens were histologically diagnosed in the study. Nodular hyperplasia was the most common histological conclusion (75.9%), followed by invasive prostate cancer (23.5%). Many prostate cancer specimens have Gleason's scores of the poorly differentiated tumor (48.0%). The patient's age in both peaked at the age group of 60-69 years. Few specimens had prostatic intraepithelial neoplasia and inflammatory process. Conclusion: Nodular hyperplasia specimens had the highest of histological conclusions. The age profiles of prostate cancer patients were lower than those of the Western world. High-grade tumors weigh heavy among malignancies and hence the need for better biomarkers which may enhance early diagnosis and better treatment outcome.

Open Journal of Orthopedics, 2014

Introduction: Amputation is the removal of a body part through a bone, while disarticulation is a... more Introduction: Amputation is the removal of a body part through a bone, while disarticulation is a removal of a part through a joint. This common procedure has different causes depending on the geographical locations and cultural practices. These ranges from dead body part to malignancy. Our study focused on the profile of the amputees including the biodata, causes and the financial consequences of the procedure. Material and Methods: The case notes of all patients who had amputation from 1998-2012 (15 years) were collected and the biodata, intra-operative diagnosis, parts amputated and duration of hospital stay were retrospectively analysed. Results: One hundred and ninety six patients had various types of amputations for the duration of our study. 159 (81.12%) were males while 37 (18.88%) were females. 68 (34.69%) patients had below knee amputation. 54 (27.55%) had above knee amputation. 27 (13.78%) had above elbow amputation. 18 (9.18%) patients had below elbow amputation, while 30 (15.30%) patients had other forms of amputations. The highest number of amputees (72 patients) was within the age range of 21-30 yr and the least number (5 patients) was within the age range of 51-60 yr. The highest number of amputation (71 patients) was due to complications from by traditional bone setters intervention. Conclusion: In our study, we found that most cases were males with a mean age of 35 years and majority (34.69%) had below knee amputation, and that most cases suffered vascular occlusion leading to gangrene.

Open Journal of Orthopedics, 2015

Urine examination is one of the important armamentarium in the practice of urology and it is a fu... more Urine examination is one of the important armamentarium in the practice of urology and it is a fundamental test that is usually carried out for urology patients, it can be as simple as dipstick analysis to a complex hormonal assays. Urine examination is done worldwide as an extension of physical examination which provides a lot of information about the pathology, and both physical and chemical analysis of urine are highly informative. There are several types of urine investigations, some of which include urinalysis, urine microscopy culture and sensitivity, urine microscopy for ova or cyst of parasites, urine cytology, urine tumour antigens assays, urine hormonal assays, urine toxicology, urine quantitative measurement and urine acid fast bacilli. Uses of urine examinations in urology could be diagnostic, such as renal function test, evaluation of heamaturia, stone diseases, urinary tract infections, urologic cancers and infertility or monitoring and for prognosis. Uses of urine investigations in practice of urology cannot be over emphasized as it has many revealing information of the physiology and pathology of urologic organs.

Profile of Amputations in National Orthopaedic Hospital, Dala, Kano, 2014

Abstract Introduction: Amputation is the removal of a body part through a bone, while disarticula... more Abstract
Introduction: Amputation is the removal of a body part through a bone, while disarticulation is a
removal of a part through a joint. This common procedure has different causes depending on the
geographical locations and cultural practices. These ranges from dead body part to malignancy. Our
study focused on the profile of the amputees including the biodata, causes and the financial consequences
of the procedure. Material and Methods: The case notes of all patients who had amputation
from 1998-2012 (15 years) were collected and the biodata, intra-operative diagnosis, parts amputated
and duration of hospital stay were retrospectively analysed. Results: One hundred and ninety
six patients had various types of amputations for the duration of our study. 159 (81.12%) were
males while 37 (18.88%) were females. 68 (34.69%) patients had below knee amputation. 54
(27.55%) had above knee amputation. 27 (13.78%) had above elbow amputation. 18 (9.18%) patients
had below elbow amputation, while 30 (15.30%) patients had other forms of amputations.
The highest number of amputees (72 patients) was within the age range of 21 - 30 yr and the least
number (5 patients) was within the age range of 51 - 60 yr. The highest number of amputation (71
patients) was due to complications from by traditional bone setters intervention. Conclusion: In our
study, we found that most cases were males with a mean age of 35 years and majority (34.69%) had
below knee amputation, and that most cases suffered vascular occlusion leading to gangrene.

Colovaginoplasty for a Patient with Mayer-Rokitansky-Kuster-Hauser’s Synderome (Mrkh) our Experience in Federal Medical Center Katsina, 2019

Tips and Tricks in the Management of Megameatus Intact Prepuce Variant of Hypospadias: A Review Article, 2023

Intractable Hematuria when the Chips are Down Treatment Options (Review), 2019

Global Practice Patterns in the Evaluation of Non-Obstructive Azoospermia: Results of a World-Wide Survey and Expert Recommendations, 2024

Ureterovaginal Fistula: Aetiological Factors and Treatment Outcome., 2018

Journals of Clinical Cases & Reports, Apr 30, 2018

International journal of dental and medical specialty, 2014

Highlights on Medicine and Medical Science Vol. 2

Journal of urology and renal diseases, 2019

Issues and Developments in Medicine and Medical Research Vol. 2, 2022

African Journal of Urology, 2021

Intellectual Discourse, 2015

Annals of Clinical and Experimental Medicine, 2020

International Journal of Dental and Medical Specialty, 2015

Clinical Case Reports, 2016

Histopathological Pattern of Prostatic Lesions in Kano, Northwestern Nigeria: A 14‑Year Review, 2019

Open Journal of Orthopedics, 2014

Open Journal of Orthopedics, 2015

Profile of Amputations in National Orthopaedic Hospital, Dala, Kano, 2014

A Review of Surgical Management Options of Megameatus Intact Prepuce Chapter 14

Introduction: Hypospadias is a continuum of different variants, and megameatus intact prepuce (MI... more Introduction: Hypospadias is a continuum of different variants, and megameatus intact prepuce (MIP) is an uncommon form of glandular hypospadias seen in around 3-6% of hypospadias. Surgical options in the management of megameatus intact prepuce depends on multiple scenarios and is multifactorial, hence the different surgical options with different outcomes. The aim of this article is to review the surgical management options of these rare variant of hypospadias called megameatus intact prepuce. Materials and Methods: We look for information on the following platformsGoogle Scholar, PubMed Central (PMC), PubMed, AJOL and EMBASE for articles on Megameatus intact prepuce, and the last search was on 14 th May, 2021, using the keywords surgical management options of megameatus intact prepuce and the relevant articles were reviewed to extract the surgical options of managing megameatus intact prepuce variant of hypospadias from the experts. Results: The surgical management of MIP is aimed at restoring function and cosmesis, and several surgical techniques, including the glanular approximation procedure (GAP), the pyramid procedure, the cutaneous advancement procedure, the tubularised incised plate (TIP), the tubularised Urethral Plate Urethroplasty (TUPU), the Mathieu technique, and the subcutaneous frenulum flap with many modifications, have been described. Discussion: MIP is rare and was first described by Juskiewenski and co in 1983, several researchers have reported on various surgical treatment options with varying results,, Elbatarny et al observed GAP in seventeen patients with MIP over a five-year span in 2011, with an excellent outcome in 14 patients and a subjective score of 1 in two patients, with one patient expressing disappointment with the outcome. M. Sanal et al. identified an excellent outcome in seven cases with GAP. Conclusion: The surgical management options for megameatus intact prepuce are many, with varying modifications and results, necessitating a urologist's knowledge of as many procedures as possible in order to achieve a desired aim in treating this group of patients with an unusual anomaly.