Congenital malformations of the urinary and genital tract, kidney stone disease, bladder disorders, undescended testes or malformations of the penis are the main tasks of the paediatric urology team. Twice a year, the ARCHEMED team travels to Asmara; on average, almost 200 children are examined per mission and more than 40 undergo surgery.
At the start of their missions, the paediatric urologists determine whether a child should be treated conservatively or surgically. Above all, they carry out procedures that, until now, were not possible due to the lack of specialised specialists. Many children have, for example, problems with urinary continence, ranging all the way to uncontrolled urine loss due to an exposed bladder in children. These wet and extremely unpleasant-smelling children have no future in Eritrea, because anyone who “stinks” is excluded from attending school. This means, in turn, no chance of further education, no possibility of leading a normal social and relationship life – a life of mere existence on the margins of society is pre-programmed.
read more
The aim is to distinguish between immediate feasibility and long-term project planning. Essential on site is the training of local surgeons, operating theatre nursing staff (anaesthesia techniques, surgical assistance) and the training of staff and parents on the children’s ward to improve postoperative care (hygiene, wound care, dressings). Precise IT documentation (a dedicated programme was developed for operations, progress, follow-up care and logistics) provides the data for mission planning and outcome monitoring. At the end of 2015, ARCHEMED brought a donated lithotripter (“stone machine”) to Asmara. Using shock waves, it can break up and 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 freed from their urinary, kidney and bladder stones. The lithotripter is intended to be used later by local specialists as well.
Project Management
Dr Regina Stredele, paediatric urologist, Munich