Chronic kidney disease – The ‘neglected’ Non-Communicable Disease in Ghana

Non communicable diseases (NCDs) have been of great concern lately with increasing morbidity and mortality. Despite the attention given to non-communicable diseases worldwide and in developing countries, chronic kidney disease and its complications is not highlighted. Chronic kidney disease has increasing incidence and prevalence and also complicates both communicable and communicable diseases. It has high morbidy, mortality and greatly affects quality of life.

In Ghana, chronic glomerulonephritis is the most common cause of chronic kidney disease followed by diabetes and hypertension. There is anecdotal evidence that the excessive use of herbal medications also compounds the problem. Management of end stage renal disease is very expensive and most patients cannot afford renal replacement therapy. A concerted effort is needed by all stakeholders to recognise kidney disease as an important non-communicable disease to reduce the disease burden.

Managing urine retention among children in Kumasi

Purpose

To describe our experience in the management of children with urine retention at the Konfo Anokye Teaching Hospital in Kumasi

Methods

From 1st April to 30th November, 2012, data on children presenting with urine retention at the Komfo Anokye Teaching Hospital, Kumasi was obtained. The data collected was entered, cleaned, validated and analyzed using SPSS 16.0 for Windows.

Results

Thirteen male children presented with urine retention during the study period. Their mean age was 5.9±5.1 (range1-14) years. The causes of urine retention were; posterior urethral valves 9(69.2%), neurological disorder 2(15.4%) and one each of phimosis and bladder calculus.

Conclusion

Posterior urethral valve was the main cause of urine retention among children who presented to urologist in Kumasi. Immediate relief of urine retention was varied requiring the use of urethral catheterization, suprapubic cystostomy, or vesicostomy. Definitive management was varied and tailored to the underlying cause.