Vanishing Testes... Uterine Evacuation

I was mad with the father of a 10-year old whose child proved to have both his scrotal sacs empty - a case of bilateral Congenital Undescended Testes. The point is both parents had known for years the condition and were hoping against all hope that one day the testes would appear, never once thinking to seek medical advice.

The poor young chap would have to visit the Paediatrics Surgeon soon.

I'm just back from the labour room where I had to evacuate the womb of this married lady who began to bleed just a week after finding out she was in early pregnancy; she being childless till date - she's had a couple of miscarriages in the recent past and a scan today proved once again the same matter of a miscarriage with some products of pregnancy retained, hence the needed evacuation.

She'll need to see the Gynaecologist for a thorough check, the poor woman.

Comments

  1. MadbeanmanJuly 12, 2010 at 2:13 PM

    Interesting idea and blog concept.

    ReplyDelete
  2. Surgeon GeneralJuly 13, 2010 at 12:55 PM

    Hi, Madbeanman. I appreciate your comment. You're doing great work on your site, too.

    ReplyDelete
  3. AnonymousJuly 22, 2010 at 12:02 PM

    Doctor, I followed ur notes from nairaland, posted a question about undescended testes in an infant about 6months, I need a reliable surgeon in Lagos, scared stiff about the surgical procedure.

    ReplyDelete
  4. Surgeon GeneralJuly 22, 2010 at 5:33 PM

    Anonymous, stay calm and I believe it will go all right in the end. Eventually you will meet and be spoken to by a Consultant Paediatrics Surgeon who would explain things in detail, like I said on Nairaland.

    ReplyDelete
  5. AnonymousJuly 30, 2010 at 11:02 PM

    hi doctor this is becky from Lagos Nigeria, if a 7weeks pregnanat woman is having a case of blighted ovum what is the next thing to do?

    ReplyDelete
  6. Surgeon GeneralJuly 31, 2010 at 5:39 PM

    Hello, becky. A confirmed case of Blighted Ovum would require a doctor to perform a Uterine Evacuation in the appropriately sterile manner, with antibiotics cover. A Vacuum Aspiration is the preferred technique rather than the old-fashioned Dilatation & Curettage (D&C). This brings back the Uterus to its none-pregnant state and she should then see her next menstruation in 3 - 7 weeks time.

    ReplyDelete

Post a Comment

Say something... Anything!... I'll shout right back at you inside 24 hours.

Popular posts from this blog

Sudden Unconsciousness - No Head Scans Available

You know when a medical emergency has arrived when the noise of several heavy, clumsy feet grow louder and louder towards you. So it was, as I sat in my consulting room three days ago, when this young man was rushed in semi-conscious. The accompanying elder sister calmly narrated how they had both eaten lunch at home before setting out on their journey to a popular open market quite close to the hospital where I work - when he began complaining of feeling ill; later leaning over on a stall just before passing-out on the ground. He was "drowsy" but rousable when I called out his name. I pondered what the diagnosis could be as the nurse gave the steroid (Hydrocortisone 200mg) shot through the i.v. line secured - no recent fever or complaints of ill-health whatsoever nor was there any history of Seizure Disorders. Then the fact came forward that he fell backward and hit his head while shooting basket ball hoops at home - but that was four days ago and he then didn't appear h...
Read more

Hypoglycaemic Coma

Unfortunately, 14 hours had elapsed before one Mr Nwokocha was brought to us deeply unconscious. A known Type 1 Diabetic , he had usually injected himself daily with Insulin - the hormone that his body lacked in the right configuration, making him unable to properly utilize blood glucose. He had given himself the usual Insulin shot the morning of the previous day. Apparently he then must have gone into low blood sugar mode; his brain suffering the lack of glucose thereof, he then slipping off into an unconscious state. Unfortunately he was home alone. Eventually a neighbour managed, somehow, to find the poor man deeply unconscious the next morning. He still appears in a vegetative state, even now. His blood sugar count was very down indeed, a fast check showed, and of course he was infused with hypertonic glucose infusions, amongst other measures done to carefully bring him round. I'm afraid he already may have suffered irreversible brain tissue damage. I told this to his ...
Read more