Presentation of Undescended Testis to a Paediatric Referal Centre in Jos

• 作者: Lohfa Bali Chirdan
• 来源期刊: 儿科学期刊(英文)
• 学科: 医学
• 关键词: Undescended Testis Age at Presentation ORCHIDOPEXY
• 年，卷（期）: 2020,（3）
• 页码范围: 438-446
• 页数: 9页
• 分类号: R73

摘要

<strong>Background:</strong><span style="font-family:""><span style="font-family:Verdana;"> Undescended testis is the commonest disorder affecting the male urogenital tract. Late presentation has significant socio-medical impact on the individual’s quality of life. </span><b><span style="font-family:Verdana;">Aim:</span></b><span style="font-family:Verdana;"> To evaluate the presentation of undescended testis and age at surgery in our centre. </span><b><span style="font-family:Verdana;">Methods: </span></b><span style="font-family:Verdana;">A 9-year retrospective analysis of the clinical records of patients < 18 years managed for undescended testis in our centre. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> A total of 73 records were analysed, 58 (79.5%) presented > 1 year. Median age at presentation was 4 years, range 1 day - 16 years. Males 73 (100%), only 17 (23.3%) were referred by health personnel, while 56 (76.7%) self-referred. Commonest site involved was the left 33 (45.2%), 29 (39.7%) right and 11 (15.1%) bilateral. There were 13 </span><span style="font-family:Verdana;">(17.4%) who had associated congenital malformations. Hypospadias 7</span><span style="font-family:Verdana;"> (53.8%), isolated micropenis 4 (30.8%) and 1 each (7.7%) had myelomeningocele and hernia. Median age at presentation for bilateral involvement was 30 days, with associated hypospadias was 12 days, while those with isolated micropenis was 7.5 years. Median age at surgery for bilateral involvement was 2 years, overall median age at surgery was 4 years. </span><b><span style="font-family:Verdana;">Surgery Findings:</span></b><span style="font-family:Verdana;"> Supra-scrotal testis 47, canalicular 25 (34.2%), and bilateral abdominal 1 (1.4%). </span><b><span style="font-family:Verdana;">Outcome:</span></b><span style="font-family:Verdana;"> Wound infections 4 (5.5%), scrotal wound breakdown 1, Recurrence 3 and testicular atrophy 1. </span><b><span style="font-family:Verdana;">Co