v ::INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES::
ResearcherID - CLICK HERE Scientific Journal Impact Factor (SJIF-2020) - CLICK HERE

TITLE:

AGE SPECIFIC OUTCOME OF SINGLE STAGE ORCHIDOPEXY IN PEDIATRIC POPULATION: PROSPECTIVE COMPARATIVE STUDY.

AUTHORS:

Kashifuddin Qayoom Soomro, Mumtaz Ahmed Quraishi, Shoukat Ali Mughal, Azhar Hussain Shah, Zakir Hussain Rajpar, Javed Altaf Jat.

ABSTRACT:

Objectives: The objective of this study is to assess the outcome of Orchidopexy performed within 18 months and after 18 months of life. Methodology: All patients presented in outpatient clinic with unilateral/ bilateral undescended testis. Testicular volume was calculated on high frequency probe (7.5Mhz) ultrasound. All patients were planned after 2 weeks of initial visit for surgery. Patients operated within 18 months of life were categorized as Group A and patients operated after 18 months to 5 years of life were categorized as Group B. All patients had Open Single Stage Orchidopexy. Findings were documented and patient was discharged on 1st operative day. Patient was followed on 1st week for documentation of wound related complications and then at 6 months for assessment of testicular volume. Data was analyzed on SPSS version 23. Results: A total of 170 testicular units were included in our study. In group A, mean age of operation was 9.2+6.3 (median=10) months and in group B was 36.4+13.2 (median=28) months. Seventy-six (44.7%) of undescended testicular units were on left side followed by 60 (35.2%) on right side and 34 (20%) of testicular units were bilateral. There was no statistically significant deference of laterality in both groups. Eighty (47%) of undescended testis were located in inguinal canal followed by supra-scrotal (n=46,27%), high scrotal (n=37, 21.7%) and intra-abdominal (n=07, 4.1%). There was no statistically significant difference (p=0.8) of testicular location in both groups. Pre-operative testicular volume in group A were significantly higher as compared to the group B (p=<0.05). when compared in terms of location, distal testicular units had statistically significant high volumes (p=<0.001) as compared to more proximal testis. Post-operatively, statistically significant growth seen in group B (p=<0.001). Conclusion: Undescended testicular units on higher location has statistically significant low volumes as compared to near scrotum. in short term follow-up, early Orchidopexy shows non-significant growth as compared to patients having late Orchidopexy. Multi-centric, high volume and Long term follow-up are needed. Key words: Undescended testis, Orchidopexy, Testicular volume.

FULL TEXT

<
Top
  • Follows us on
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.