Traitement chirurgical de la cryptorchidie chez l’enfant : comparaison des voies d’abord scrotale (Bianchi) et inguinale

Dhaou, Mahdi Ben; Zouari, Mohamed; Zitouni, Hayet; Jallouli, Mohamed; Mhiri, Riadh

doi:10.1016/j.purol.2015.05.005

Cited by 8 publications

(9 citation statements)

References 12 publications

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“…Results of this study indicate that surgery was performed as soon as cryptorchidism was diagnosed. This observation is in accordance with the Nordic consensus on the treatment of cryptorchidism which recommends a surgical treatment between 6 and 12 months of life to prevent testicular exposure to oxidative stress due to the high abdominal temperature (3,18). Surgery is the best treatment approach for cryptorchidism, and the predominance of inguinal surgery is consecutive to the absence of laparoscopic equipment in the Panzi General Hospital.…”

Section: Discussionsupporting

confidence: 84%

“…The average age of children was lower compared to the African nine years old value (10). To prevent complications due to delayed management of cryptorchidism, Ritzén and collaborators suggested a monthly visit to newborn babies for cryptorchidism diagnosis in order to prevent late diagnosis and further risk factors including infertility and testicular cancer (18). In this study, 97.37% of patients consulted for scrotal vacuity which is the main characteristic of cryptorchidism (11,23,26).…”

Section: Discussionmentioning

confidence: 89%

“…The theoretical basis for hormonal treatment is the stimulation of Leydig cells to produce testosterone, inducing inguinal-scrotal testicular descent (6,17). However, this approach is less effective and generates serious adverse effects, the reason why surgery is preferred (6,15,18). Orchidopexy through inguinal operation or laparoscopy is the standard definitive treatment for palpable or non-palpable cryptorchidism.…”

Section: Introductionmentioning

confidence: 99%

“…Orchidopexy is commonly performed before 2 years of age, and increasing research suggests that a surgery before 1 year of age may normalize spermatogenesis by preventing the degenerative changes of the testes and germ cell loss. Late diagnostic and treatment of cryptorchidism may lead to infertility and testicular cancer (8,18,19). Because of poverty, populations of the East DR Congo mainly rely on medicinal plants for primary healthcare leading therefore to late consultation.…”

Section: Introductionmentioning

confidence: 99%

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

Désiré¹,

Buhendwa

Césaire³

et al. 2020

Ethiop J Health Sci

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BACKGROUND: 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.METHODS: 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.RESULTS: 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.CONCLUSION: 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.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Désiré¹,

Buhendwa

Césaire³

et al. 2020

Ethiop J Health Sci

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“…In the same vein, wound infection has also been found in many studies,[18242526] with 1.1% of patients undergoing trans-scrotal surgery and 2.5% in the traditional method suffered from the complication. However, in these studies, no significant difference in the incidence of complication was found between the two surgical methods.…”

Section: Discussionmentioning

confidence: 84%

Trans-scrotal Incision Approach versus Traditional Trans-scrotal Incision Orchiopexy in Children with Cryptorchidism: A Randomized Trial Study

2019

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Background: Although undescended testis (UDT) is the most prevalent malformation in male neonates, the best mode of UDT treatment remains controversial. This study aimed to compare trans-scrotal incision approach with traditional trans-scrotal incision orchiopexy in children suffering from cryptorchidism. Materials and Methods: This single-blind randomized clinical trial was done on 100 children with UDT who needed surgery. The participants were alternately undergoing trans-scrotal incision orchiopexy (Group I) and traditional inguinal incision orchiopexy (Group II). The success rate and incidence of postoperative complications were evaluated 1 week and 1 month and 6 months after the operation in the two groups. Results: Both the groups were similar in baseline characteristics including age and laterality ( P > 0.05). There was no significant difference between the two groups in terms of the incidence of wound infection, testicular atrophy, testicular hypotrophy, and relapse ( P > 0.05). In addition, the success rates were 98% in Group I and 94% in Group II ( P > 0.05). Conclusion: Both surgical methods have a high success rate, and there is no significant difference in the incidence of complications; however, in terms of beauty, satisfaction, and shortening the duration of surgery and the duration of hospitalization, trans-scrotal approach was more successful than the traditional method.

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Single scrotal incision orchiopexy versus the inguinal approach in children with palpable undescended testis: a systematic review and meta-analysis

Feng

Yang

et al. 2016

Pediatr Surg Int

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Traitement chirurgical de la cryptorchidie chez l’enfant : comparaison des voies d’abord scrotale (Bianchi) et inguinale

Cited by 8 publications

References 12 publications

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

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

Trans-scrotal Incision Approach versus Traditional Trans-scrotal Incision Orchiopexy in Children with Cryptorchidism: A Randomized Trial Study

Single scrotal incision orchiopexy versus the inguinal approach in children with palpable undescended testis: a systematic review and meta-analysis

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