Epidemiology, Diagnosis and Therapeutic Approaches of Cryptorchidism at the Panzi General Hospital, DR Congo: A 5-year Retrospective Study

Cryptorchidism is a common congenital malformation characterized by unilateral or bilateral undescended testis in the scrotum. It is a common disease in pediatric urology although the prevalence is yet to be determined in the East DR Congo. The aim of this study was to describe the prevalence, clini...

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Bibliographic Details
Published in:	Ethiopian journal of health sciences Vol. 30; no. 1; pp. 107 - 114
Main Authors:	Désiré, Alumeti Munyali, Buhendwa, Cikwanine, Césaire, Tetsatsi Momo Aimé, Prisca, Kavira Ise Somo, Levi, Luhiriri Ndanda, David, Nanga Batende, Longombe, Ahuka Ona, Pierre, Watcho
Format:	Journal Article
Language:	English
Published:	Ethiopia Research and Publications Office of Jimma University 01-01-2020
Subjects:	Adolescent Child Child, Preschool Cryptorchidism - epidemiology Cryptorchidism - pathology Cryptorchidism - surgery Democratic Republic of the Congo - epidemiology Hospitals, General Humans Incidence Infant Infant, Newborn Male Orchiopexy - statistics & numerical data Original Prevalence Retrospective Studies Scrotum - pathology Testis - surgery Democratic Republic of the Congo epidemiology Cryptorchidism Panzi General Hospital diagnosis fixation in dartos
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Summary:	Cryptorchidism is a common congenital malformation characterized by unilateral or bilateral undescended testis in the scrotum. It is a common disease in pediatric urology although the prevalence is yet to be determined in the East DR Congo. The aim of this study was to describe the prevalence, clinical and therapeutic features of cryptorchidism at the Panzi General Hospital. Medical records of patients who underwent pediatric surgery between January 2011 and December 2016 were reviewed. The prevalence of cryptorchidism, associated malformations, sociodemographic features of patients and therapeutic protocols were examined. Collected data were analyzed using SPSS software. A total of 5066 children were received during the study period in the service, of which 76 suffered from cryptorchidism giving a prevalence of 1.50% and an annual incidence of 12.70. Unilateral cases were found in 53(69.74%) patients among which 66.04% and 33.96% had unilateral right and left cryptorchidism respectively. Cryptorchidism was associated with other malformations in 71.1% of patients. The age of patients ranged from 0 to 15 years and 78.9% were older than two years. Surgery was the only therapeutic approach and fixation of cryptorchid testis in dartos through inguinal incision was the preferred therapeutic used method. This study indicates that cryptorchidism is a relatively common and neglected disease in the Est-DR Congo, due to late consultation. Therefore, the local population and pediatricians should be sensitized on scrotal palpation techniques in order to shorten the consultation delay and prevent testis damages.
Bibliography:	Funding: Nil Competing Interests: The authors declare that this manuscript was approved by all authors in its form and that no competing interest exists.
ISSN:	1029-1857 2413-7170 1029-1857
DOI:	10.4314/ejhs.v30i1.14