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The Presentation Of Cryptorchidism At Consolata Hospital Nyeri
Abstract
Introduction: Cryptorchidism is the commonest birth anomaly in boys
but data on the entity is scarce in Kenya. Neither population nor facility
based study documenting the condition is available.
Objective: To determine the age of presentation, presenting complaints
and findings among patients with cryptorchidism in Consolata hospital Nyeri, Kenya.
Methods: We carried out an eight-year retrospective study by analysing
all the cases of cryptorchidism operated on in our theatre using
the available patients’ records.
Results: A total of 54 patients with 71 undescended testes were analysed. The median age of presentation was 9.0 years (ranging from 0.58 to 80 years). Of the cases analysed, 31.48% were bilateral, 33.33% right sided and 29.63% left sided. The main presenting complaint was empty scrotum in 82.98% of the cases. Intra-operatively, 8.5% of the testes were at the deep inguinal ring, 8.5% at superficial inguinal ring and 5.6% at mid-inguinal regional. The location of the testes in 56.3% of the cases was not indicated. Orchidopexy was performed in 88.7% of the cases.
Conclusion: Cryptorchidism is common a n d across all age groups with most of patients presenting to hospital late. Early diagnosis and orchidopexy is recommended.
but data on the entity is scarce in Kenya. Neither population nor facility
based study documenting the condition is available.
Objective: To determine the age of presentation, presenting complaints
and findings among patients with cryptorchidism in Consolata hospital Nyeri, Kenya.
Methods: We carried out an eight-year retrospective study by analysing
all the cases of cryptorchidism operated on in our theatre using
the available patients’ records.
Results: A total of 54 patients with 71 undescended testes were analysed. The median age of presentation was 9.0 years (ranging from 0.58 to 80 years). Of the cases analysed, 31.48% were bilateral, 33.33% right sided and 29.63% left sided. The main presenting complaint was empty scrotum in 82.98% of the cases. Intra-operatively, 8.5% of the testes were at the deep inguinal ring, 8.5% at superficial inguinal ring and 5.6% at mid-inguinal regional. The location of the testes in 56.3% of the cases was not indicated. Orchidopexy was performed in 88.7% of the cases.
Conclusion: Cryptorchidism is common a n d across all age groups with most of patients presenting to hospital late. Early diagnosis and orchidopexy is recommended.
