Meet another patient

Watsi logo blueWatsi

Success! Francis from Kenya raised $834 to fund urethroplasty surgery.

Francis
100%
  • $834 raised, $0 to go
$834
raised
$0
to go
Fully funded
Francis's treatment was fully funded on November 5, 2022.

Photo of Francis post-operation

November 21, 2022

Francis underwent life-changing corrective surgery and is eager to get back to school.

Francis’ surgery was successful with no complications. He is now healing and will return for post-operation clinics so that his doctor can support a full recovery. Francis is very happy that the surgery has been done and hopes to heal well so that he can pass urine properly.

Francis says, “I can’t wait to heal and go back to school. I’m happy that now I will not struggle to empty my bladder.”

Francis’ surgery was successful with no complications. He is now healing and will return for post-operation clinics so that his doctor can s...

Read more
May 17, 2022

Francis is a 17-year-old student who tries to live each day to its fullest as best he can. He lives together with his siblings, parents, and grandparents in their ancestral home. Francis’s mom works at a local tea farm, while his father takes on labor jobs to help provide for the family.

Francis was born with spina bifida, which is a spinal condition that occurs when the neural tube does not close all the way. Francis is part of the BethanyKids Hospital program and uses a Clean Intermittent Catheterization (C.I.C) to help regulate his bladder. A few months ago, Francis noticed a wound near the catheter site that made it difficult for him to use the C.I.C. A nurse referred him to the hospital for review and doctors there diagnosed the condition as a urethral fistula. The medical team determined that Francis will need to undergo surgery to heal.

Our medical partner, African Mission Healthcare (AMH), is helping Francis receive treatment. On May 18th, he will undergo urethroplasty surgery. AMH is requesting $834 to fund his procedure and related care.

Francis hopes to feel better soon and says, “It has been a struggle for me to perform C.I.C because of this wound.”

Francis is a 17-year-old student who tries to live each day to its fullest as best he can. He lives together with his siblings, parents, and...

Read more

Francis's Timeline

  • May 17, 2022
    PROFILE SUBMITTED

    Francis was submitted by Robert Kariuki, Process Coordinator at African Mission Healthcare.

  • May 20, 2022
    TREATMENT OCCURRED

    Francis received treatment at BethanyKids Kijabe Hospital (BKKH) in Kenya. Medical partners often provide care to patients accepted by Watsi before those patients are fully funded, operating under the guarantee that the cost of care will be paid for by donors.

  • May 23, 2022
    PROFILE PUBLISHED

    Francis's profile was published to start raising funds.

  • November 5, 2022
    FULLY FUNDED

    Francis's treatment was fully funded.

  • November 21, 2022
    TREATMENT UPDATE

    Francis's treatment was successful. Read the update.

Funded by 18 donors

Funded by 18 donors

Treatment
Urethroplasty
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $834 for Francis's treatment
Hospital Fees
$611
Medical Staff
$20
Medication
$31
Supplies
$114
Labs
$18
Other
$40
  • Symptoms
  • Impact on patient's life
  • Cultural or regional significance

​What kinds of symptoms do patients experience before receiving treatment?

Urethral stricture is the diagnosis that warrants a urethroplasty. Urethral stricture is caused by inflammation of tissue or the existence of scar tissue – either of which may result in constricting the urethra. Symptoms of urethral stricture include a weak flow of urine or a decreased volume of urine, urethral discharge, evidence of blood in semen or urine, discolouration of urine, inability to urinate, pain in the pelvic or lower abdominal area, pain or burning during urination, and urinary frequency/urgency.

​What is the impact on patients’ lives of living with these conditions?

This condition can make it difficult for an individual to work, especially for those involved in manual labour. The urgent and frequent need to urinate can cause complications in the workplace. There is also a level of pain and discomfort that can cause complications for the individual. There is also a risk that the patient will not be able to pass urine at all, leading to kidney failure.

What cultural or regional factors affect the treatment of these conditions?

Historically there are no serious social implications for urethral strictures in Kenya. Urethral strictures are sometimes a result of sexually transmitted illnesses, which do entail social stigma.

  • Process
  • Impact on patient's life
  • Risks and side-effects
  • Accessibility
  • Alternatives

What does the treatment process look like?

The surgery entails either removing the constricted portion of the urethra or enlarging it. A urethroplasty may also include the reconstruction of tissues surrounding the urethra. In such cases, tissues from the skin or mouth may be grafted to aid in the reconstruction. After surgery, a urethral catheter is implanted for two to four weeks following the procedure. The treatment typically lasts between three to six hours. Most patients can be discharged immediately following the surgery or within one day following the surgery.

What is the impact of this treatment on the patient’s life?

The treatment is highly effective and the percentage of individuals who develop strictures following the treatment is very low. Patients are recommended to allow three to four weeks of recovery before returning to work, particularly for those involved in manual labour. For those working non physically intensive jobs, it is possible to resume working one to two weeks following the procedure. Once the urethra has healed properly, the catheter can be removed and the patient will resume normal urination.

What potential side effects or risks come with this treatment?

Similar to most other surgeries, the pain is the most intense in the twelve hours immediately following the procedure but will decrease with time. By the following day, the pain should be at a comfortable level and for the next few days, the pain should remain a dull ache but nothing more. There is the possibility of a bladder spasm which would be indicated by sudden pain in the penis, pubic bone, or lower abdomen. A bladder spasm is pain caused by the catheter and can be treated with medicines. There is a small possibility of strictures returning but in such an event, only half of the cases report symptoms.

How accessible is treatment in the area? What is the typical journey like for a patient to receive care?

There are some tertiary care centres spread out in Kenya that offer this treatment. The difficulty, however, is securing a surgery date in a timely manner.

What are the alternatives to this treatment?

Alternatives to a urethroplasty include the widening of the urethra as done by a dilator. This can be performed by a doctor passing a small wire through the urethra and into the bladder. Unlike the urethroplasty, this procedure will gradually increase the size of the urethra as opposed to immediately. A second option is the insertion of a permanent urinary catheter. This is typically reserved for severe cases, especially because of the risk it poses for bladder irritation and urinary tract infections.

Meet another patient you can support

100% of your donation funds life-changing surgery.

Meet another patient you can support

100% of your donation funds life-changing surgery.