Transverse testicular ectopia (TTE) is a rare congenital anomaly in which both testes descend through the same inguinal canal. The most frequent clinical presentation is undescended testis (UDT) with ipsilateral inguinal hernia and contralateral non-palpable testis. This condition is often diagnosed during surgery and is frequently associated with other anomalies. There is controversy in the surgical management of TTE. Considerations for TTE repair include avoiding damage to the testes or vas deferens and detection of other congenital anomalies. Frequently, the vas deferens and testicular tissues are joined, and dissection of these structures can cause damage. In this article, we report four patients with TTE, describe the surgical approach made in each case, and provide a review of the literature.
the Ministry of Health of Chile sponsored a program intended to improve medical core and gather epidemiologic information on urinary trcct infections in the pediatric population served by the Northern Sarriago Metropolitan Health Service |SSMM}. During this period, suspicious cases of urinary tract infections (UTI) presenting at seven lout or 14] ambulatory care centers and at the local pediatric hospital emergency room were refered to a special unit [U I clinic] ot that same hospital, where diagnoses were confirmed and patients were treated and followed by a standard protocol, including renal ultrasonogram and voiding cystourefhrography to all patients without previous radiologic evaluation. By the time of this study the SSMN cared for 188 329 children [age under 15 years), 108 221 of 'hem were adscribed to the participating health centers, and 1 .275 patients were referred to the UTI clinic, 630 being confi'rned UTI cases. The attack rate of the disease was significantly higher in the participating healtn centers [3-7/1.000), thar, /n the non participating ones (2.7/1 .000, p < 0.0003). Acute pyelonephritis was significantly more ccnmon in children under 24 months of age then among other ages: OR=3.3 [IC95%-2.1-5.3); p < 0.0000001. E. co'ii was the predorrvnant bacte r ial pathogen in males and females, but identification of non E. coll bacteriae was significantly more frequent among male patients (OR -17,3; (1C 95% = 8.0 -38.0). Five hundred and twenty two children were followed beyond recover/ of the index UTI and 148 had at least a second episode of UTI during the fo.low-jp period [1 to 18 months, median and mode 6 months); 87,8% of the detected recurrences occurred before the seventh month of follow-up. Age 24 to 71 months and non E. coll infections were associated with significan-ly higher risk of recurrences: OR = 2.5; (1C 95% -1.5-4.0) and OR -2,5 (!C 95% = 1,2-5,2), respectively. Male parents and those with acute pyelonephitis were at significantly higher risk of bearing morphologic abnormalities: OR = 2,0; (1C 95% = 1,03-3,9), and OR = 2,0; (1C 95% = 1,2-3,5).[Key words: unnary tract infections, epiaemiology, risk factors.) Lagos R, y cols.Revista Chilena de Pediatrla Enero-Febrero 1995
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