The Presentation Of Cryptorchidism At Consolata Hospital Nyeri

Authors: Ilkul J.H, M.B.Ch.B, MMed; Wahinya W. M,M.B.Ch.B; Mwenda AS,M.B.Ch.B. Affiliation: Department of Surgery,

Consolata Hospital Nyeri, Kenya. Correspondence: Aruyaru Stanley Mwenda. Email: arumwesta@gmail.com

Abstract

Introduction: Cryptorchidism is the commonest birth anomaly in boys but data on the entity is scarce in Kenya. Neither population nor facil-ity based study documenting the condition is available.

 

Objective: To determine the age of presentation, presenting com-plaints and findings among patients with cryptorchidism in Consolata

hospital Nyeri, Kenya.

 

Methods: We carried out an eight-year retrospective study by analys-ing 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 com-plaint 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.

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