Wednesday 27 June 2018

VESICOVAGINAL (OBSTETRIC FISTULA) AND ITS SOCIAL IMPLICATIONS

VESICOVAGINAL fistula (VVF) is the commonest type of Obstetric fistula. It is very common around us. We just need to step down from our high horses and see the reality around us. The underprivileged people suffer a great deal due to poverty, ignorance and exploitation as well as the poor state of the health care system in Nigeria. 

VVF is a highly stigmatised condition caused by an abnormal opening between the bladder and the vagina. This leads to drainage of urine through the vagina from the bladder. It is usually caused by obstructed and unsupervised labour. It occurs mostly in people of low socioeconomic status. The condition is curable though surgical. There are some philanthropists and NGOs who help people with this condition. They pay for the surgery and rehabilitate the women.


Though the story below is fictional, it was inspired by true events. 


"So,this is how my life would continue," Seyi wondered. There seemed to be no end in sight to her problems. She wondered and wondered. She wished she could turn back the hands of time to a period when life was as simple a ABC. So much has changed since then.

Sixteen years ago, Seyi was born to her loving parents. Her father was a farmer while her mother was a housewife. She had all she wanted. Nothing much though! Food was always available. Not only in your house but also at the neighbours'. What of snacks? Hehehe! What will you do with 'Ever-militant Iya Agba'. She always had yummy snacks for all the village children. God bless her soul. Is it kulikuli, Kokoro, dodo, pongila, eekanna asa,monimoni or baba Dudu? Just mention it. Everything was available.

At age six, she was enrolled in the village mission school. Whenever she missed home, she would quickly take the path behind the school to her house where her mother would welcome her with tears in her eyes as if she didn't just leave that morning. Life was good!

Until one fateful day when she got back from school to see a crowd gathered in her compound. What could be happening? She dropped her slate and ran inside only to find her father weeping. "Baami, kilode, kilosele," she asked. Her father drew her closer and wanted to tell her something but Iya Agba quickly took her from him and backed her, rocking her to sleep. On waking up, Seyi discovered that her mother had died while trying to deliver a baby at Iya Agbebi's place.  Her mother had bled to death. She didn't really understand what was happening but she heard people saying that her mother had journeyed into the land of no return.

Two years strolled by. Her father had to remarry. Hmmmm! She was so excited. She was going to have a new mother. She looked forward to her stepmother carrying her and pampering her. Her joy new no bounds on the wedding day. After all she and Aunty Sikira were 5 and 6 already. What remained now was for life to go back to normal. Hopefully with brothers and sisters very soon and she would no longer be eleti kan. Ghengen ghengen. 

But haaaa! Aunty Sikira dealt with her. Kilode! It was as if the she was devil sent. She made life unbearable for her. Was it the beating for no just cause or chores to be done or the the lies she told against her. It was bad. Her father also became so distant. It was easier to talk to the king than it was to talk to Baami. The only time she succeeded in talking to him caused her more trouble. Ipadabo Abija Aunty Sikira was not funny at all. She tied her to a tree and beat her with seven-mouthed koboko. She then prepared a potion made with pepper and rubbed it all over her wounds. Hmmm! She thought she would die. Being a slave was better than being in this state.

This was her predicament until she met Lasun. He was an apprentice at Baba Igunnu's furniture workshop. He was very kind to her. He would give her food, help her carry load and run some errands. He seemed to understand her very well. It was a great relief to have someone care for her. She fell in love! Lasun was in love with her too. They couldn't get their hands off each other. They met daily behind the school fence and made love. They just couldn't wait to get married even though she was only 15 years old. Life was beautiful again. 

Suddenly, she was pregnant. She was not even remorseful. Ehn! Shebi that was her ticket out of her suffering. She could already see herself as the madam in Lasun's house. She sang happily as she packed her few clothes in a Bagco sac and moved in with him. What more could she hope for. Absolutely nothing! She was with the love of her life. Even though Lasun was an apprentice, he always had some change. They barely had enough but she was happy all the same.

When the pregnancy became advanced, one of her neighbours advised her to go to the hospital. She refused. Was it not Iya Agbebi that helped to deliver majority of the children in that village. Going to the hospital would just be a sheer waste of her husband's hard earned money. Iya Agbebi would do the job. Shebi the woman had told her to buy a pregnant goat and that if the goat delivered safely she would too. Was it not just the week before that the goat had triplets? Who supervised the delivery? Nobody! Haba! 

If only she had known. Her labour was not smiling at all. She laboured for three days! She was hysterical. Haaa! That pain was something else. It was after the third day that the Iya Agbebi decided she should be taken to the hospital when all her incantations and herbs did not work. How she got to the hospital, she did not know. The doctor then told them that the baby had died due to prolonged obstructed labour. The child was eventually brought out dead. It was so sad. But that was just the beginning of her problem. Her urine was leaking into her vagina. She could not control the urine. The doctor said she would need surgery to correct it and that it would cost a lot of money. What would she do now?! She looked at Lasun's face and saw rejection. Her heart broke!

When they got back home, she pleaded with her husband to help her. "Where do you want me to get the money", Lasun shouted. "At this point, if go no go, come go come. Shebi we are not kuku really married. It's better you just go back to your family jeje. Me that I am managing my life. I'm just an apprentice and my head is too young for this your Bukaata. Shebi the child don die. Ehn Ehn. Dey go o. Before I come back from the shop, leave my house if you don't want wahala, Smelly woman" he said and stormed out of the house.

"He didn't mean that, Seyi wondered. She would wait for him. Lasun loved her. He was only a bit angry. She cooked his meal and waited for him. Immediately Lasun sighted her, he was furious. He ran to her, kicked her and dragged her out on to the street. He ran back inside and threw out her clothes threatening to kill her if she came back. She cried and cried till she couldn't cry anymore. Where would she go? She decided to go back to her father's house but no one wanted to see her. They all covered their noses as she moved towards them. The stench of urine was too much for them to handle. Her stepmother closed the door in her face. No one would help her. She was rejected by everyone.

That was how she became a beggar. Maybe, only maybe she could raise the #20,000 needed for her surgery. "Life is cruel,"she said as she stood up to change her 4th urine-drenched wrapper.


The  end.

























Saturday 27 January 2018

DEALING WITH ERECTILE DYSFUNCTION

My name is Adenrele. Hmmn scratch that! I am Chief Architect Adenrele JP. I am 50 years old and the doctors say I am diabetic. Don't mind those doctors jare! That's how they will be labeling someone with "big big" conditions. Nothing was wrong with me ooo. Shebi I just wanted to do medical checkup that was required when I was to go to the UK for a course ni. And I went to the hospital to meet my boy who usually arranges the medical certificate for me. I need not do the test. Once I "settle" my guy, the certificate would be brought to my office. Who has time for sitting down in one hospital "to be doing sereren ?"

On this fateful day, I went as usual only to be told that my guy had been suspended for fraudulent activities. I dragged myself to the clinic to see the doctor who would give me a physical examination and order my tests. Immediately I met him, I knew he didn't like me. Instead of "facing" the issue at hand, he started asking me questions about how frequently I urinate both day and night. I grudgingly answered him that I drink a lot of water which makes me urinate about 10 times during the day and I wake up at least five times during the night as well. The doctor then told me he suspected that I had Diabetes. He examined me and ordered my tests. 

When the results came out, he sat me down and broke the news to me. He said I had Diabetes and reeled out a set of rules to me. "Who does that?" Isn't that plain wickedness? All I heard from his speech was that I would die soon! After talking to me, he gave me a prescription to take to the pharmacy. It was as if he had done nothing. He just excused himself and went on to the next patient. Only God can tell how I got home from the hospital that day. A million and one thoughts ran through my mind. How to break the news to my wife that I was about to die. How to organize my estate. I could not sleep that night. I kept turning and turning. Unfortunately it took so long for the day to break.

At dawn, I quickly got up and went to my friend Tunde's house. I told him everything. He just scoffed and said, "Don't mind them Denrele mi owon, Doctor yen lo ni Diabetes". "Shebi you, nothing do you. Ehn Ehn." Just urinate on the ground, once ants don't go near it that means you don't have any Diabetes." "Mu beer tutu s'aye e, my friend". His words calmed me down. I was fine. Infact, very fine. I had a beer and went about my normal activities.

It's good to have a friend like Tunde. We have been friends for over 30 years. We hit it off when we met in school as "jambites". Ol' boy we sure had fun together. We partied and read together. He arranged a lot of girls for me. I was a stallion in bed. He used to call me "Adenrele ti ko kin re". ( Means someone who is never tired). Our friendship is what you call brotherhood. And I can trust him with my life.

Why am I telling this story? I just noticed about three months ago that I could not have an erection. What can fa? Me! I don't stop until women beg me to stop. Kilode? Initially, I thought it was because of stress but now I don't think so. Normally, once I see a woman, my "JT" is ready for action. But now even my wife is beginning to complain of my inability to get it up. I even tried to test it with prostitutes and some fresh girls. It was still the same. 

How will people see me now? What is the point of being a man if one can not "jangirover"? Mo ti di Esin inu iwe niyen. Why don't I kuku kill myself? I went to see Tunde again, dejected. He just told me that it was a simple thing. There was a concoction being sold by some Mallams just around the corner. If I took it, I would do jangirover till day break. He advised to have sex with a fresh girl and not my wife so that the girl could match my stamina. He made all the arrangements as usual. No be small thing! The thing worked ooo no be small. That was how I became a regular customer of the Mallams. Life was good again.


After a while however, I was back to square one! No show again despite the concoction. I then thought it was time to tell my wife about my predicament (but not the whole story๐Ÿ˜œ). She said she stopped complaining because she felt I was not comfortable discussing it. She called her friend who was a doctor to book an appointment for me at his private clinic. On getting there, after a barrage of tests, I was found to be Diabetic and Dr Solomon explained that Disbetes was one of the causes of Erectile Dysfunction. He counseled me and gave me some drugs which I promised to adhere to.


Here I am, a few months after feeling good. I'm back to being a stallion! If you don't believe me, ask my wife. ๐Ÿ˜€


ERECTILE DYSFUNCTION (ED)
The above story tells of one of the causes of ED. There are many other causes which will be discussed shortly. It is usually extremely embarrassing for a man to accept he suffers from erectile dysfunction. Many men take pride in their sexual stamina and so have a great difficulty acknowledging ED. ED is failure to get an erection despite sexual stimulation or when an erection can not be sustained during sexual intercourse.

The symptoms include:
    • trouble getting an erection
    • difficulty maintaining an erection during sexual activities
    • reduced interest in sex
    Identified causes include:
    1. Physical causes
    • Diabetes: this causes damage to the blood vessels and nerves that control the blood flow to the penis
    • Heart problems: this leads to a decrease in the blood flow to the penis with blocked arteries or leaking veins 
    • Injury/Surgery done on bladder, prostrate, colon or rectal area resulting in nerve damage and
    • spinal cord injuries
    • Obesity and overweight 
    • Drugs including anti hypertensives, antidepressants as raised BP may impair blood flow to penis
    • Hormonal problems: Problems of pituitary gland and testes
    • Lifestyle including smoking, alcohol & substance abuse and lack of exercise

         2. Psychological causes

       Treatment 
It is best to see a doctor when any of the above is experienced.



Thanks for reading. Till next time, Ciao.