Sara, girl with a rare congenital abnormality

7 year-old, Sara, has been wet with urine continuously since birth, which has deeply affected her whole family. Her enterprising mother brought her 217 miles to Freetown, and attended various clinics. Twice she waited in the queue for our paediatric clinic, but because of numbers they weren’t seen, and they went back home, bitterly disappointed. On hearing on the radio about our visit to Koinadugu she came to see us. I saw her and suspected a congenital fistula of her urinary system. An IVU X-ray this morning in a private hospital confirmed my suspicion of a ureter that bipasses the bladder. I have contacted the other urologist in Sierra Leone and we plan to operate on her next week at the government hospital – paid for by our supporters. Here is Sara eating an ice cream in Freetown.