Kenya: African Examples
August 30, 2007
Prof George Albert Omore Magoha, a leading surgeon in this part of the world, is a highly complex man.
You can tell it from the professional organisations he belongs to: the Erectile Dysfunction Advisory Council (Edac), the International Society of Impotence Researhc for real men.
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Away from administrative duties at the university, Magoha attends to men who struggle with medical complications many prefer not to talk about.
But those complications could make the difference whether a man leaves a generation behind or his kind ends with his death.
Magoha recalls when he was growing up in Yala Gem, Siaya District, it was not uncommon to hear villagers wailing to mourn the sudden death of an old man in the neighbourhood.
When he asked what caused the death, he would be told the old man could not pass urine at the hour of need, however much he tried.
In Magoha’s village, like in any other African society, the idea of a man failing to pass urine was the stuff of myths and taboos, discussed in low tones and only among adults who equally did not know what was going on.
It is life in this world of strange deaths that pushed Magoha into the field of medicine, which few have pursued in Africa.
Highly private man
No wonder Magoha’s clients come from as far as the Democratic Republic of Congo (DRC), Burundi, Tanzania, Uganda and Somalia. Of course Kenyans also visit his Nairobi Hospital clinic.
Magoha describes himself as ” a highly private man”. Students and even some staff at the University of Nairobi agree that Magoha is indeed “a very private person”.
Whether it is the love for privacy that pushed the surgeon into this branch of medicine or it is the profession which pushed him into embracing privacy is hard to tell.
What is clear is that in the line of duty as a medical doctor, Magoha handles highly private and sensitive sicknesses of men.
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Magoha is an urologist by. “In very simple terms,” he says, “a urologist is a human plumber.”
He describes it thus: “The plumber deals with human water pipes which transmit urine and seminal fluid, and the organs that feed and supply these pipes.”
In complex terms, Magoha says, a urologist is a fully trained general surgeon with a fellowship diploma or Master of Medicine diploma in general surgery.
But the urologist specialises in urogenital diseases in the kidney, ureter, bladder, prostate, urethra, penis and testes among other parts.
The urologist also manages infertility and erectile dysfunction (erection problems) particularly in men.
As urologist, Magoha has been at the forefront of cutting edge research in cancer of the male genital tract, cancer of the prostate gland, cancer of the penis, testicular cancer, torsion of the testes (twisted testes) and, above all, male erectile dysfunction.
The names sound strange and distant. But in the privacy of clinics and hospital wards, the names stand for real diseases men struggle with daily as they struggle to, as Magoha says, “keep their houses in order”.
Marriages have broken because men have “failed to rise to the occasion” at the critical moment. People have also died because they are unable to pass urine when they are pressed.
Recognized globally
Yet until fairly recently, there was little medical interest in these complications in the East African region. In the villages, marriages broke quietly or after the women exploded with the news that their men could not perform. The explosion would quickly be buried by hushed murmurs and blame passed to the witch in the next home who was bent on ruining people’s families.
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