Aspects epidemiologiques, cliniques et therapeutiques de la cryptorchidie chez l’enfant: analyse de 123 observations

Conclusion La cryptorchidie est vue à un âge tardif dans notre contexte rendant l’intervention immédiate. A cet âge, il existe de possibles lésions dysplasiques justifiant une surveillance prolongée jusqu’à la puberté où un spermogramme sera réalisé. Objectives The purpose of this study carried out at a department of pediatric surgery in Senegal, West Africa, was to evaluate the epidemiological, clinical and therapeutic aspects of cryptorchidism. Patients and Methods This retrospective study included 123 cases of cryptorchidism seen at the Department of Paediatric Surgery of Aristide Le Dantec University Hospital, Dakar, Senegal between May 1st, 2000 and April 30th, 2008. The parameters studied were the prevalence of cryptorchidism compared to other pathologies of the inguinal canal, the patients’ age, the reasons for consultation, the results of physical examination, the operative outcome, the duration of hospitalization and the results, in particular the cosmetic and morphological results, on follow-up. Results Cryptorchidism was the third most frequent congenital defect after inguinal hernia (1537cases) and hydrocele (327 cases). The age of our patients ranged from 17 days to 15 years with a mean age of 5.7 years. Scrotal emptiness seen in 105 (84.5%) patients was the main reason for consultation. Bilateral cryptorchidism was found in 9.5% of the cases, while it was on the right side in 62% and on the left in 28.5%. The testis was palpable in only 34...
Source: African Journal of Urology - Category: Global & Universal Source Type: research