Congenital malformations of the urinary and genital tracts, kidney stones, bladder diseases, undescended testicles or penile malformations are the main tasks of the paediatric urology team. Twice a year, the ARCHEMED team travels to Asmara, where an average of almost 200 children are examined and more than 40 are operated on during each mission.
At the beginning of their missions, the paediatric urologists determine whether a child is to be treated conservatively or surgically. In particular, the procedures that were previously not possible due to a lack of specialised doctors are carried out. Many children have For example, many children have problems with urination, which can lead to an unobstructed urine loss through an exposed bladder in children. These wet and extremely unpleasantly smelling children have no future in Eritrea, because those who ‘stink’ are excluded from attending school. This means, consequently, having no chance of further education and being unable to lead a normal social and relationship life – a vegetative existence on the margins of society is pre-programmed.

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The aim is to distinguish between immediate feasibility and long-term project planning. The on-site training of local surgeons, surgical nursing staff (anaesthesia techniques, surgical assistance) and the training of staff and parents in the paediatric ward to improve postoperative care (hygiene, wound care, dressings) is essential. Precise IT documentation (a dedicated programme for operations, progress, aftercare and logistics has been developed for this purpose) provides the data for resource planning and monitoring results. At the end of 2015, ARCHEMED brought a donated lithotripter (‘stone machine’) to Asmara. With the help of shock waves, it can be used to break up and thus remove all stones in the urogenital tract, which occur relatively frequently in Eritrea. So far, around 230 children have been successfully treated with it, and their urinary, kidney and bladder stones have been removed. The lithotripter is also to be used by local specialists at a later date.
Project management
Dr. Regina Stredele, paediatric urologist, Munich