Meet another patient

Watsi logo blueWatsi

Success! Chadier from South Sudan raised $834 to finally heal his birth condition.

Chadier
100%
  • $834 raised, $0 to go
$834
raised
$0
to go
Fully funded
Chadier's treatment was fully funded on December 30, 2022.

Photo of Chadier post-operation

January 11, 2023

Chadier underwent bladder exstrophy repair surgery to help heal his birth condition.

Chadier’s initial surgery was done successfully at BethanyKids Hospital in Kenya, with no complications arising during and after the surgery. Following the successful operation, he remained in the hospital for a few days for his recovery to be monitored closely, as there were risks of complications. He has recovered well and was discharged, and is slated to return to BethanyKids for an epispadias repair surgery before going back to his home in South Sudan. It is expected that he will recover fully and be able to pass urine normally as he grows.

Chadier’s grandmother says, “I’m very happy for the treatment and hope that he will grow up like other boys.”

Chadier’s initial surgery was done successfully at BethanyKids Hospital in Kenya, with no complications arising during and after the surgery...

Read more
November 18, 2022

Chadier is a 5-year-old boy who lives with his grandmother, a small-scale farmer and the sole breadwinner for the family, in South Sudan. She shared that he was abandoned by his mother, who had separated from her husband before Chadier’s birth.

Chadier was born with a congenital malformation, where his bladder formed outside the body (bladder exstrophy). His mother took him to a hospital at the age of 6 months for treatment of his condition. She was advised to wait 4 years for his surgery.

The hospital that Chadier’s mother visited approached an organization that supports needy patients and shared his case to them. Chadier and his grandmother reside in a rural village, and it was difficult for the organization to locate them. The village has inaccessible roads, no schools, and frequent outbreaks of war. Fortunately, the organization was finally able to locate Chadier and his grandmother in December of last year.

He was referred to BethanyKids Hospital in Kenya for treatment after the organization coordinated with our medical partner African Mission Healthcare. Upon his arrival, Chadier was diagnosed and it was recommended that he undergo multiple surgeries to heal his condition. Chadier has underwent initial bladder exstrophy repair surgery. He still needs epispadias repair surgery to treat his condition. Chadier’s grandmother cannot afford to pay for his medical treatments, so their family needs help to raise the $834 cost.

Chadier’s grandma says, “I have always wished for him to get treated, and I’m happy that it has started and is going well.”

Chadier is a 5-year-old boy who lives with his grandmother, a small-scale farmer and the sole breadwinner for the family, in South Sudan. Sh...

Read more

Chadier's Timeline

  • November 18, 2022
    PROFILE SUBMITTED

    Chadier was submitted by SAFE Program Admin, SAFE Program Admin at African Mission Healthcare.

  • November 20, 2022
    TREATMENT OCCURRED

    Chadier 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.

  • November 29, 2022
    PROFILE PUBLISHED

    Chadier's profile was published to start raising funds.

  • December 30, 2022
    FULLY FUNDED

    Chadier's treatment was fully funded.

  • January 11, 2023
    TREATMENT UPDATE

    Chadier's treatment was successful. Read the update.

Funded by 16 donors

Funded by 16 donors

Treatment
Urethroplasty
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $834 for Chadier'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.