Management of undescend testis in Nouakchott

Abstract

Introduction : The undescended testis (UDT) is often late discovery in our African context. The treatment is surgical and should be done around the irst year of life. The purpose of this study was to present the results of treatment of this condition in our current practice. Methodology : This is a retrospective study over a period of 3 years and 6 months that included all boys operated for UDT for 6 monthsat least. Therapeutic successes have been considered when the testis has been found normal in size in the scrotum. Other situations were considered therapeutic failures. Results : We collected 100 children carriers of UDT (including 76 unilateral and 24 bilateral). The average age of our patients was 6.36 years with extreme ages of 1 year and 15 years. The emptiness of the scrotum was the most frequent reason for consultation. The testis was palpable in 67 % of children. Fifteen patients had an associated malformation. The majority of UDT (79 %) were in inguinal position. Nine patients had intra‑abdominal testis. Conventional orchiopexy in dartos was performed in 87 patients including one by Fowler and Stephens procedure; Nine patients had pre‑pubic lowering and three patients had orchiectomy. The immediate operative follow‑up was simple in all our patients; 3 cases of secondary atrophy and one case of testicular re‑ascension were noted. Failures of testicular lowering in the bursa were related to the intra‑abdominal position. Conclusion : In our practice, the UDT is found by parents and managed very late