TITLE:
Presentation of Undescended Testis to a Paediatric Referal Centre in Jos
AUTHORS:
Andrew Haruna Shitta, Solomon Danjuma Peter, Ezekiel Dido Dung, Danaan Joseph Shilong, Alexander Femi Ale, Mercy Wakili Isichei, Emmanuel Olorundare Ojo, Michael Ayedima Misauno, Lohfa Bali Chirdan
KEYWORDS:
Undescended Testis, Age at Presentation, Orchidopexy
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.10 No.3,
September
2,
2020
ABSTRACT: Background: 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. Aim: To evaluate the presentation of undescended
testis and age at surgery in our centre. Methods: A 9-year retrospective
analysis of the clinical records of patients Results: 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 (17.4%) who had associated congenital
malformations. Hypospadias 7 (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. Surgery
Findings: Supra-scrotal testis 47, canalicular 25 (34.2%), and bilateral
abdominal 1 (1.4%). Outcome: Wound infections 4 (5.5%), scrotal wound
breakdown 1, Recurrence 3 and testicular atrophy 1. Conclusion: Our
patients presented very late beyond the recommended age for surgery, evaluating
for DSD also contributed to delay in intervention even when these patients
presented early. We advocate for early
screening at birth, during routine child immunization and school enrollment,
with prompt referral.