A collective review of cases with cryptorchidism managed in a teaching hospital in Sudan

Abstract

<p><strong>Background:</strong> Cryptorchidism is one of the most common urogenital abnormalities in male children. Delayed diagnosis and treatment of cryptorchidism lead to complications such as infertility, malignancy and testis torsion.</p><p><strong>Objective: </strong>To determine the cause of delayed presentation, complications recorded, the surgical treatment offered in a developing country.</p><p><strong>Methods:</strong>A retrospective review of patients’ records from December 2012 to December 2014 was carried out. Sixty one patients presented to the University Charity Teaching Hospital during this period.</p><p><strong>Results: </strong>Sixty one patients were included in the study. Age ranged from 1-75 years with mean at surgery is 11 years. Twenty seven patients (44%) presented after 24 months, 3 (4.9%) less than 12 months, and 23 (37.3%) less than 1 month. Age at operation, 7 (13%) were £ 2years, 15 (28%) were 2-5years, 39 (59%) were > 5 years.Fifty four (88.5%) patients have undergone orchidopexy, 3(4.9%) orchidectomies, 1 (1.6%) biopsy, 1 (1.6%) exploratory laparotomy, and in 2 (3.3%) cases operation wasn’t done.</p><p><strong>Conclusion:</strong>Late presentation observed in this study is alarming and action should be taken by spreading awareness in the community and ensuring adequate neonatal and children examination in order to avoid the complications.</p>

Predictors of delayed consultation in undescended testis patients at a Rwandan referral hospital

“…Similar reports were noted in other studies. In a study conducted at Sudan Teaching Hospital, 44% of their 62 patients with UDT presented after age 2 [3]. The reported reason for the delays was ignorance of the initial consulting doctor and midwives.…”

“…The exact causes of failure to descend is not well understood, but there are possible risk factors, including prematurity, low birth weight, smaller size fetus for gestational age, twins, and exposure to estrogen in the last trimester [3]. Mullerianinhibiting substance (MIS) is a gonadal hormone that causes the regression of the Mullerian ducts, the embryonic structures that give rise to the female genitalia, in male fetuses.…”

“…Causes of delayed presentation of UDT are variable. In Sudan, the causes included ignorance, poor follow up, and a lack of healthcare facilities [3]. A study from India identified common causes for late consultation in patients with UDT included ignorance (9%), and shyness (42%) [12]; other patients delayed seeing a physician because they consulted traditional healers first or had poor guidance.…”