Acute Scrotum in Nigeria: An 18-Year Review

Mbibu, NH; Maitama, Hussaini Yusuf; Ameh, Emmanuel A.; Khalid, Lawal; Adams, L M

doi:10.1177/004947550403400117

Cited by 12 publications

(5 citation statements)

References 2 publications

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“…the longer cord length on the left is incriminated because it is more likely to bend. Other authors affirm the opposite with a predominance of the right side [8]. The delay of consultation in our study could be explained by the ignorance of these pathologies in primary and secondary health structures, self-medication and socio-cultural factors.…”

Section: Discussionsupporting

confidence: 61%

Torsion of the Spermatic Cord in Children at the Brazzaville University and Hospital Center

Claud¹

2018

IJSST

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The purpose of our study is to analyze the epidemiological, clinical and therapeutic aspects of spermatic cord torsion. Materials and methods: This is a retrospective cross-sectional descriptive study conducted in the pediatric surgery department of the Brazzaville University and Hospital Center between January 2013 and December 20015. Records of 11 children aged 0 to 15 years hospitalized for sperm cord torsion and considered exploitable were analyzed. The studied parameters were: epidemiological, clinical, therapeutic aspects. Results: 960 children were admitted to the service during the study period. Among them, 11 cases (1.14%) were for torsion of the spermatic cord. The average age of the patients was 11.5 years (0-15 years). The average consultation time was 22 hours extreme (4-72 hours). Scrotal pain is the main reason for consultation. Five patients (45.4%) were received before the 6th hour. All patients were operated on. The number of turns of turn varied from 1 to 3. Eight testicles (72.7%) were considered viable. The postoperative course was simple.

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Section: Discussionsupporting

confidence: 61%

Torsion of the Spermatic Cord in Children at the Brazzaville University and Hospital Center

Claud¹

2018

IJSST

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“…Inguinoscrotal hernias are associated with testicular infarction and might cause male infertility [26]. Sonderman et al analysed the TRICARE database in a large retrospective study, including more than 3 million children.…”

Section: Discussionmentioning

confidence: 99%

Analysis of volume change of the testis after inguinal hernia repair using the PIRS method – a prospective pilot study

Wolak,

Piotrowska,

Strzelecka

et al. 2022

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Introduction: Laparoscopic surgery of inguinal hernias in children using the PIRS method is a recognized method of treatment that has been used for several years. Aim of the research:To assess the effects of inguinal hernia repair performed with the percutaneous inguinal ring suturing (PIRS) method on the volume of the testicles. Material and methods: It was a prospective study conducted between January 2016 and December 2019 in the Department of Paediatric Surgery. Twenty-nine male patients aged 0-8 years were included in the study. Ultrasound evaluation of both testicles, comparing the volume before and after inguinal hernia repair, was performed. Results and conclusions:The ultrasound measurements of the testicular volume after the surgical procedure showed no inhibition of growth with the preoperative sonographic examination and concerning the testis of the opposite, non-operated side. The increase in the median of the volume of both testis' was observed in cases before and after the elective surgeries, although there was no statistically significant difference. Emergency operation due to the incarcerated hernia on either side did not statistically significantly affect testicular volume in the tested group of patients. None of the laparoscopically operated patients showed atrophy of the testis. Laparoscopic surgery using the PIRS method in the case of inguinal hernia does not result in testicular atrophy or a decrease of the volume of the testis on the operated side. StreszczenieWprowadzenie: Operacja laparoskopowa przepukliny pachwinowej u dzieci sposobem PIRS jest uznaną metodą leczenia stosowaną od kilkunastu lat. Cel pracy: Wpływ leczenia operacyjnego przepukliny pachwinowej metodą PIRS na zmianę objętości jądra. Materiał i metody:Pomiędzy styczniem 2016 a grudniem 2019 roku przeprowadzono badanie prospektywne w Uniwersyteckiej Klinice Chirurgii Dziecięcej. Do badania włączono 29 chłopców w wieku 0-8 lat. Analizie poddano zmianę objętości jądra w ultrasonografii przed zabiegiem chirurgicznym i po zabiegu. Badano zmianę objętości jądra strony operowanej w stosunku do jądra, które nie było poddane zabiegowi. Porównano zmianę objętości jądra operowanego przed zabiegiem i po zabiegu oraz jądra strony przeciwnej, które nie było poddane procedurze PIRS. Wyniki i wnioski: Ultrasonograficzne pomiary objętości jąder po zabiegu chirurgicznym nie wykazały zahamowania wzrostu w przedoperacyjnym badaniu ultrasonograficznym jądra strony przeciwnej, nieoperowanej. Zaobserwowano wzrost mediany objętości obu jąder w przypadkach przed planowanymi operacjami chirurgicznymi i po nich, chociaż nie stwierdzono różnicy istotnej statystycznie. Operacja nagła z powodu uwięźniętej przepukliny po obu stronach nie wpłynęła statystycznie istotnie na objętość jąder w badanej grupie pacjentów. U żadnego z operowanych laparoskopowo pacjentów nie wystąpił zanik jąder. Operacja laparoskopowa metodą PIRS w przypadku przepukliny pachwinowej nie powoduje zaniku jąder ani zmniejszenia objętości jądra po stronie operowanej.

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“…In Nigeria, and probably many of the sub-Saharan African countries, these men often patronize these intermediaries before presentation. 6 This may account for why most of them presented with only scrotal pain and swelling, the attenuated form of the disease, as they may have been on treatment before presentation. This explains the statistically significant correlation (P=0.000) between symptoms and outcome.…”

Section: Discussionmentioning

confidence: 99%

“…The data on the epidemiology of the disease in Nigeria are scanty or unavailable, the closest to it being the work by Mbibu et al on acute scrotum. 6 Though the disease may not be of public interest epidemiologically, it places a significant social and psychological burden on the affected men. Untreated or poorly treated, it may produce complications such as infertility 4 with lifelong consequences.…”

Section: Introductionmentioning

confidence: 99%

Acute epididymorchitis: a study of the predisposing factors and immediate management outcome in adult men in Irrua, Nigeria

Irekpita¹,

Ogbetere²,

Esezobor³

2016

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To assess the immediate (14 days) outcome of management and to determine the predisposing factors (PF) to acute epididymorchitis in this rural community. Materials and methods: This is a retrospective study. All men who were diagnosed as having acute epididymorchitis within the study period of 5 years were included. Those with epididymorchitis secondary to testicular tumors were excluded. Information related to age, HIV infection and other PF, organisms isolated, duration of hospital stay, antibiotic treatment, adjunct treatment, and duration of symptoms before presentation were documented. Immediate outcome was graded as good if symptoms and signs resolved within 2 weeks of treatment or poor if this took more than 2 weeks. Findings were analyzed using simple statistical methods and statistical package for the social sciences (SPSS-17). Results: A total of 58 men met the selection criteria and were included in the study. The risk factors included two (3.4%) prostatitis, 36 (62.1%) bladder outlet obstruction, three (5.2%) trauma/instrumentation, and ten (17.2%) multiple sexual partners. No risk factor was documented in seven (12.1%). One (1.7%) of the men, who also had bladder outlet obstruction, was HIV positive. When age was cross tabulated with risk factors, there was a significant correlation (P=0.000) but it had no significant effect on immediate management outcome (P=0.442). Immediate outcome was considered good in 40 (69%) and poor in 18 (31%). Independent factors that affected outcome included the duration of symptoms before presentation (P=0.000), presenting symptoms (P=0.000), and the need for adjunct treatment (P=0.018). Ciprofloxacin was the antibiotic used in 57 (98.28%), while cefuroxime was used in one (1.7%). These drugs had no statistically significant correlation with outcome. Conclusion: Many patients with epididymorchitis have PF that need to be treated to avoid its recurrence and complications. It would then mean that the diagnosis "acute epididymorchitis" is incomplete without including the PF. In this study, ciprofloxacin was not uniformly effective (69%) using the aforementioned criteria, indicating the need for prospective studies to identify cost-effective antibiotics.

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Acute Scrotum in Nigeria: An 18-Year Review

Cited by 12 publications

References 2 publications

Torsion of the Spermatic Cord in Children at the Brazzaville University and Hospital Center

Torsion of the Spermatic Cord in Children at the Brazzaville University and Hospital Center

Analysis of volume change of the testis after inguinal hernia repair using the PIRS method – a prospective pilot study

Acute epididymorchitis: a study of the predisposing factors and immediate management outcome in adult men in Irrua, Nigeria

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