Pub Date : 2021-01-01DOI: 10.35248/2168-9857.21.10.146
C. Emeka
Background: Testicular torsion is a common cause of acute scrotum and may lead to ischemia of the testis. The aim of this study was to evaluate our experience in the management of children who had testicular torsion. Materials and Methods: This was a retrospective study of children aged 15 years and younger who were managed for testicular torsion between January 2014 and December 2018 at the pediatric surgery unit of Enugu State University Teaching Hospital Enugu, Nigeria. Results: A total of 79 cases of confirmed testicular torsions were treated during the study period. The median age of the patients was 9 years with a range of 2 weeks to 14 years. Majority of the patients presented 48 hours after onset of their symptoms. The patients received treatment within 24 hours of presentation and abdominal pain was a consistent symptom in all the patients. Half of the patients had a preoperative Doppler ultrasound. Right side of the testis was mostly involved and three-quarters of the patients had orchidopexy whereas one-quarter of the patients had orchidectomy. Surgical site infection was the most common post-operative complication. However, there was no mortality. Conclusion: Delays in presentation may have resulted in testicular loss in 25% of the patients in the present study. We recommend high index of suspicion in children who present with scrotal pain.
{"title":"Management and Outcome of Testicular Torsion in Children: A Teaching Hospital Experience","authors":"C. Emeka","doi":"10.35248/2168-9857.21.10.146","DOIUrl":"https://doi.org/10.35248/2168-9857.21.10.146","url":null,"abstract":"Background: Testicular torsion is a common cause of acute scrotum and may lead to ischemia of the testis. The aim of this study was to evaluate our experience in the management of children who had testicular torsion. Materials and Methods: This was a retrospective study of children aged 15 years and younger who were managed for testicular torsion between January 2014 and December 2018 at the pediatric surgery unit of Enugu State University Teaching Hospital Enugu, Nigeria. Results: A total of 79 cases of confirmed testicular torsions were treated during the study period. The median age of the patients was 9 years with a range of 2 weeks to 14 years. Majority of the patients presented 48 hours after onset of their symptoms. The patients received treatment within 24 hours of presentation and abdominal pain was a consistent symptom in all the patients. Half of the patients had a preoperative Doppler ultrasound. Right side of the testis was mostly involved and three-quarters of the patients had orchidopexy whereas one-quarter of the patients had orchidectomy. Surgical site infection was the most common post-operative complication. However, there was no mortality. Conclusion: Delays in presentation may have resulted in testicular loss in 25% of the patients in the present study. We recommend high index of suspicion in children who present with scrotal pain.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"150 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81064648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2168-9857.21.10.E126
Paraskev Katsakori
{"title":"An Introduction to Pelvic Surgery","authors":"Paraskev Katsakori","doi":"10.35248/2168-9857.21.10.E126","DOIUrl":"https://doi.org/10.35248/2168-9857.21.10.E126","url":null,"abstract":"","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"23 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72759520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2168-9857.21.10.265
Caiga Du
{"title":"An Overview on Erectile Dysfunction and Prevention","authors":"Caiga Du","doi":"10.35248/2168-9857.21.10.265","DOIUrl":"https://doi.org/10.35248/2168-9857.21.10.265","url":null,"abstract":"","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"10 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78592095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2168-9857.21.10.253
Paraskev Katsakori
{"title":"Experiences of Adults with Congenital Bowel and Bladder Conditions","authors":"Paraskev Katsakori","doi":"10.35248/2168-9857.21.10.253","DOIUrl":"https://doi.org/10.35248/2168-9857.21.10.253","url":null,"abstract":"","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"26 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82792574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.35248/2168-9857.20.9.233
A. Quach, C. O’Donnell, M. Al-Musawi, Simon P. Kim, T. Macdermott, A. Barqawi
Purpose: To identify the incidence and predictive factors of infectious complications in a prophylactic-controlled cohort of men undergoing transrectal ultrasound-guided prostate needle biopsy (TRUS-Bx) at a single institution. Materials and Methods: A retrospective review was performed on 539 patients who underwent TRUS-Bx between 2010-2015. All patients received prophylactic Sulfamethoxazole/Trimethoprim and Levofloxacin prior to the biopsy. Charlson Comorbidity Index (CCI) was calculated for each patient. The characteristics of patients with and without infectious complications were compared using Fisher exact tests and student’s t-test. Results: 539 biopsies were performed. Mean age was 64 years, PSA was 17, prostate volume was 41 mL, and CCI score was 3. A total of 7 (1.3%) infectious complications were reported 48-72 hours after biopsy, with 2 (0.4%) developing sepsis. Analysis indicated no significant differences in mean age (p=0.544), PSA (p=0.881), prostate volume (p=0.532), or CCI score (p=0.499) among patients who developed infection. Individual components of the CCI revealed no statistically significant differences. Additional complications following biopsy included: hematuria (8.3%), rectal bleeding (1.3%), urinary urgency (0.9%), and new onset erectile dysfunction (0.6%). Hematuria was associated with the development of infectious complications (OR=8.75, CI 1.895–40.400, p=0.0055). Conclusions: Our cohort of patients undergoing TRUS-Bx had a lower infectious rate compared to that reported by the AUA (1.1% vs 5-7%). Although this study has limited power, CCI was poorly predictive of infectious complications following TRUS-Bx. Persistent hematuria following biopsy was associated with infectious complications. The clinical importance of hematuria following TRUS-Bx, if any, needs to be further clarified.
目的:确定在单一机构接受经直肠超声引导前列腺穿刺活检(truss - bx)的男性预防对照队列中感染并发症的发生率和预测因素。材料与方法:对2010-2015年间539例接受TRUS-Bx治疗的患者进行回顾性分析。所有患者在活检前均接受预防性磺胺甲恶唑/甲氧苄啶和左氧氟沙星治疗。计算每位患者的Charlson共病指数(CCI)。采用Fisher精确检验和学生t检验比较有无感染性并发症患者的特征。结果:共行活组织检查539例。平均年龄64岁，PSA 17，前列腺体积41 mL, CCI评分3分。活检后48-72小时共报告了7例(1.3%)感染并发症，其中2例(0.4%)发生败血症。分析显示，发生感染的患者在平均年龄(p=0.544)、PSA (p=0.881)、前列腺体积(p=0.532)或CCI评分(p=0.499)方面无显著差异。CCI的各个组成部分没有显示出统计学上的显著差异。活检后的其他并发症包括:血尿(8.3%)、直肠出血(1.3%)、尿急(0.9%)和新发勃起功能障碍(0.6%)。血尿与感染并发症的发生相关(OR=8.75, CI 1.895-40.400, p=0.0055)。结论:与AUA报道的感染率相比，我们的队列患者接受TRUS-Bx的感染率较低(1.1%对5-7%)。虽然这项研究的效力有限，但CCI对TRUS-Bx术后感染并发症的预测效果很差。活检后持续血尿与感染并发症相关。如果有血尿的临床重要性，则需要进一步澄清。
{"title":"Hematuria after Transrectal Prostate Biopsy: A Warning of Future Infection","authors":"A. Quach, C. O’Donnell, M. Al-Musawi, Simon P. Kim, T. Macdermott, A. Barqawi","doi":"10.35248/2168-9857.20.9.233","DOIUrl":"https://doi.org/10.35248/2168-9857.20.9.233","url":null,"abstract":"Purpose: To identify the incidence and predictive factors of infectious complications in a prophylactic-controlled cohort of men undergoing transrectal ultrasound-guided prostate needle biopsy (TRUS-Bx) at a single institution. Materials and Methods: A retrospective review was performed on 539 patients who underwent TRUS-Bx between 2010-2015. All patients received prophylactic Sulfamethoxazole/Trimethoprim and Levofloxacin prior to the biopsy. Charlson Comorbidity Index (CCI) was calculated for each patient. The characteristics of patients with and without infectious complications were compared using Fisher exact tests and student’s t-test. Results: 539 biopsies were performed. Mean age was 64 years, PSA was 17, prostate volume was 41 mL, and CCI score was 3. A total of 7 (1.3%) infectious complications were reported 48-72 hours after biopsy, with 2 (0.4%) developing sepsis. Analysis indicated no significant differences in mean age (p=0.544), PSA (p=0.881), prostate volume (p=0.532), or CCI score (p=0.499) among patients who developed infection. Individual components of the CCI revealed no statistically significant differences. Additional complications following biopsy included: hematuria (8.3%), rectal bleeding (1.3%), urinary urgency (0.9%), and new onset erectile dysfunction (0.6%). Hematuria was associated with the development of infectious complications (OR=8.75, CI 1.895–40.400, p=0.0055). Conclusions: Our cohort of patients undergoing TRUS-Bx had a lower infectious rate compared to that reported by the AUA (1.1% vs 5-7%). Although this study has limited power, CCI was poorly predictive of infectious complications following TRUS-Bx. Persistent hematuria following biopsy was associated with infectious complications. The clinical importance of hematuria following TRUS-Bx, if any, needs to be further clarified.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"37 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81544392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.35248/2168-9857.20.9.227
A. Traoré, Ibrahima Diallo, O. Sow, M. Dione, N. Ndour, Modou Ndiaye, A. Ndiath, B. Fall
Erythroplasia of Queyrat stands for a precancerous lesion, a carcinoma in situ evolving through an epidermoid carcinoma in the absence of an appropriate management. We report a case of 66-year-old uncircumcised Caucasian patient who was suffering from a lesion of erythroplasia of Queyrat located at the penis and treated by posthectomy after failure of a cream-based chemotherapy. The diagnosis of Erythroplasia of Queyrat is histological. In our patient, the race and the absence of circumcision allowed us to conjure up the diagnosis. Surgical treatment seems to be the refferential approach in the management of this intra-epithelial neoplasia.
{"title":"Posthectomy Approach of Erythroplasia of Queyrat: A Case-Report","authors":"A. Traoré, Ibrahima Diallo, O. Sow, M. Dione, N. Ndour, Modou Ndiaye, A. Ndiath, B. Fall","doi":"10.35248/2168-9857.20.9.227","DOIUrl":"https://doi.org/10.35248/2168-9857.20.9.227","url":null,"abstract":"Erythroplasia of Queyrat stands for a precancerous lesion, a carcinoma in situ evolving through an epidermoid carcinoma in the absence of an appropriate management. We report a case of 66-year-old uncircumcised Caucasian patient who was suffering from a lesion of erythroplasia of Queyrat located at the penis and treated by posthectomy after failure of a cream-based chemotherapy. The diagnosis of Erythroplasia of Queyrat is histological. In our patient, the race and the absence of circumcision allowed us to conjure up the diagnosis. Surgical treatment seems to be the refferential approach in the management of this intra-epithelial neoplasia.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"18 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81947487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.24105/2168-9857.9.231
O. Gaye, A. Traoré, S. Faye, H. Diallo, N. M. Thiam, N. Ndour, M. Diaw, M. Ndiaye, A. Ndiath, O. Sow, B. Sine, A. Sarr, A. Thiam, C. Z. Ondo, R. Kane, A. Ndiaye, B. Fall, B. Diao, A. Ndoye
We report two cases of fracture of the two cavernous bodies associated with a complete rupture of the secondary urethra to a false step of coitus. This association is exceptional. Emergency surgical exploration makes it possible to make a precise lesion assessment and to repair them to obtain better functional results.
{"title":"Complete Rupture of the Urethra Associated With a Fracture of the Two Corpora Cavernosa: About Two Cases","authors":"O. Gaye, A. Traoré, S. Faye, H. Diallo, N. M. Thiam, N. Ndour, M. Diaw, M. Ndiaye, A. Ndiath, O. Sow, B. Sine, A. Sarr, A. Thiam, C. Z. Ondo, R. Kane, A. Ndiaye, B. Fall, B. Diao, A. Ndoye","doi":"10.24105/2168-9857.9.231","DOIUrl":"https://doi.org/10.24105/2168-9857.9.231","url":null,"abstract":"We report two cases of fracture of the two cavernous bodies associated with a complete rupture of the secondary urethra to a false step of coitus. This association is exceptional. Emergency surgical exploration makes it possible to make a precise lesion assessment and to repair them to obtain better functional results.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"193 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78505992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.35248/2168-9857.20.9.234
A. Abid
Context: Circumcision holds a unique place in daily practice of urology. Heat cautery device is most common local technique used we found it can cause meatal stenosis and its sequels. Aim: To determine the incidence, presenting symptoms of meatal stenosis and its relation to local traditional neonatal circumcision techniques among our children. Settings and Design: This retrospectively study. Methods and Materials: Total 150 child who circumcised during infancy period, outside medical institutes and they circumcised using local traditional techniques either heating cautery device or surgical knives. Statistical analysis of data was carried out using the Statistical Packages for Social Sciences- version 25 (IBM Corporation). Results: Of 150 child, 60 (40%) had meatal stenosis. The mean age at time of diagnosis was 5.98 ± 3.06 years (Range 1-13 years) and the majority of patients was within age group of 5-9 years (n.31, 51.7%), median 6.0 years. The incidence of MS was significantly higher (P=0.037) among group of child circumcised with heating device in comparison with circumcised group with other method. Forty-six child (76.7%) were symptomatic and fourteen child (23.3%) diagnosis of MS had made incidentally. Conclusions: Meatal stenosis is a long-term complication of neonatal circumcision with a late presentation and sequels. It is more commonly among group circumcised using heating cautery. We recommend using heating cautery cautiously.
{"title":"Meatal Stenosis Post Traditional Neonatal Circumcision-Cross Sectional Study","authors":"A. Abid","doi":"10.35248/2168-9857.20.9.234","DOIUrl":"https://doi.org/10.35248/2168-9857.20.9.234","url":null,"abstract":"Context: Circumcision holds a unique place in daily practice of urology. Heat cautery device is most common local technique used we found it can cause meatal stenosis and its sequels. Aim: To determine the incidence, presenting symptoms of meatal stenosis and its relation to local traditional neonatal circumcision techniques among our children. Settings and Design: This retrospectively study. Methods and Materials: Total 150 child who circumcised during infancy period, outside medical institutes and they circumcised using local traditional techniques either heating cautery device or surgical knives. Statistical analysis of data was carried out using the Statistical Packages for Social Sciences- version 25 (IBM Corporation). Results: Of 150 child, 60 (40%) had meatal stenosis. The mean age at time of diagnosis was 5.98 ± 3.06 years (Range 1-13 years) and the majority of patients was within age group of 5-9 years (n.31, 51.7%), median 6.0 years. The incidence of MS was significantly higher (P=0.037) among group of child circumcised with heating device in comparison with circumcised group with other method. Forty-six child (76.7%) were symptomatic and fourteen child (23.3%) diagnosis of MS had made incidentally. Conclusions: Meatal stenosis is a long-term complication of neonatal circumcision with a late presentation and sequels. It is more commonly among group circumcised using heating cautery. We recommend using heating cautery cautiously.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"19 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83388322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.35248/2168-9857.20.9.235
Rajeev Chaudhari, P. Shah, Archana Shetty
The aim of the study was to evaluate the efficacy and safety of Cystone forte tablet in urolithiasis. A randomized, open-label, comparative clinical study was conducted in sixty-two subjects presenting with urolithiasis as diagnosed clinically with calculi measuring 5 to 12mm in size and subjects aged between 18-50 years of either sex. Sixty-two subjects were randomized into trial group and comparator group. Trial group subjects received Cystone forte tablet in the dose of 2 tablets twice daily for a period of 6 weeks while the comparator group received Tamsulosin tablet in the dose of 1 tablet once daily for a period of 6 weeks. The trial group subjects treated with Cystone forte tablets showed comparable results with the improvement of clinical parameters in urolithiasis and with the expulsion of kidney stones as compared to Tamsulosin group. The trial group receiving Cystone forte tablet was found to be effective and was beneficial in the management of urolithiasis. At the end of the study, mild occasional adverse events were reported in both the groups which were resolved. This clinical study demonstrates that, oral administration of Cystone forte tablets at the recommended dose is safe and effective in relieving the symptoms of urolithiasis.
{"title":"A Randomized, Open label, Comparative Clinical Study to Evaluate the Efficacy and Safety of Cystone Forte Tablet in Urolithiasis","authors":"Rajeev Chaudhari, P. Shah, Archana Shetty","doi":"10.35248/2168-9857.20.9.235","DOIUrl":"https://doi.org/10.35248/2168-9857.20.9.235","url":null,"abstract":"The aim of the study was to evaluate the efficacy and safety of Cystone forte tablet in urolithiasis. A randomized, open-label, comparative clinical study was conducted in sixty-two subjects presenting with urolithiasis as diagnosed clinically with calculi measuring 5 to 12mm in size and subjects aged between 18-50 years of either sex. Sixty-two subjects were randomized into trial group and comparator group. Trial group subjects received Cystone forte tablet in the dose of 2 tablets twice daily for a period of 6 weeks while the comparator group received Tamsulosin tablet in the dose of 1 tablet once daily for a period of 6 weeks. The trial group subjects treated with Cystone forte tablets showed comparable results with the improvement of clinical parameters in urolithiasis and with the expulsion of kidney stones as compared to Tamsulosin group. The trial group receiving Cystone forte tablet was found to be effective and was beneficial in the management of urolithiasis. At the end of the study, mild occasional adverse events were reported in both the groups which were resolved. This clinical study demonstrates that, oral administration of Cystone forte tablets at the recommended dose is safe and effective in relieving the symptoms of urolithiasis.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"11 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72799439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.35248/2168-9857.20.9.229
Mieret Jean Claude, L. Vincent, M. Michel, Dieth Atafi
The purpose of this study was to identify the closure anomalies of the peritoneal-vaginal canal in order to describe the epidemiological, anatomo-clinical and therapeutic aspects in our practice. Patients and methods: As part of the community health program, we conducted a descriptive cross-sectional study in the Cuvette Ouest department, Oyo city Congo. It took place from May 25th to July 25th, 2017 (2 months). Included in the study were male children, admitted for inguinal, inguino-scrotal or scrotal swelling and for whom the surgical procedure made it possible to note a form of persistence of the peritoneal-vaginal canal. For each cases, epidemiological, anatomo-clinical and therapeutic aspects were analyzed. Results: A total of 277 patients were treated over a period of 2 months. The average age was 6.5 years (1 month-17 years). The reason for consultation was inguinal and inguino-scrotal swelling, painless and intermittent in 57%. Pathology of the peritoneo-vaginal canal was located on the right side in 142 cases. The anatomo-clinical types were dominated by hernia in 57%. Pathology of the peritoneo-vaginal canal was associated with umbilical hernia in 44% and prosthectomy was done in 16.6%. The treatment was surgical in all our patients. The operative course was marked by two cases of scrotal hematoma and five cases of parietal suppuration. Conclusion: The pathologies of the peritoneal-vaginal canal are very frequent in children in pediatric surgery departments and are dominated by inguinal and inguino-scrotal hernias. Their treatment is surgical.
{"title":"Pathology of the Peritoneal-Vaginal Canal in Children in Rural Areas","authors":"Mieret Jean Claude, L. Vincent, M. Michel, Dieth Atafi","doi":"10.35248/2168-9857.20.9.229","DOIUrl":"https://doi.org/10.35248/2168-9857.20.9.229","url":null,"abstract":"The purpose of this study was to identify the closure anomalies of the peritoneal-vaginal canal in order to describe the epidemiological, anatomo-clinical and therapeutic aspects in our practice. Patients and methods: As part of the community health program, we conducted a descriptive cross-sectional study in the Cuvette Ouest department, Oyo city Congo. It took place from May 25th to July 25th, 2017 (2 months). Included in the study were male children, admitted for inguinal, inguino-scrotal or scrotal swelling and for whom the surgical procedure made it possible to note a form of persistence of the peritoneal-vaginal canal. For each cases, epidemiological, anatomo-clinical and therapeutic aspects were analyzed. Results: A total of 277 patients were treated over a period of 2 months. The average age was 6.5 years (1 month-17 years). The reason for consultation was inguinal and inguino-scrotal swelling, painless and intermittent in 57%. Pathology of the peritoneo-vaginal canal was located on the right side in 142 cases. The anatomo-clinical types were dominated by hernia in 57%. Pathology of the peritoneo-vaginal canal was associated with umbilical hernia in 44% and prosthectomy was done in 16.6%. The treatment was surgical in all our patients. The operative course was marked by two cases of scrotal hematoma and five cases of parietal suppuration. Conclusion: The pathologies of the peritoneal-vaginal canal are very frequent in children in pediatric surgery departments and are dominated by inguinal and inguino-scrotal hernias. Their treatment is surgical.","PeriodicalId":89536,"journal":{"name":"British journal of medical & surgical urology","volume":"4 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86367414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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