One Year Follow Up of Newborn Babies with Undescended Testes

, Ahmed Mohammed Ali Abdulhadi; , Haider Mohammed Mousa Dabbach

	One Year Follow Up of Newborn Babies with Undescended Testes
Iraqi Postgraduate Medical Journal
Article 1, Volume 18, Issue 3, 2019, Pages 227-233 PDF (0 K)
Authors
Ahmed Mohammed Ali Abdulhadi; Haider Mohammed Mousa Dabbach
Abstract
BACKGROUND: Cryptorchidism is one of the most common congenital urological disease. The prevalence of cryptorchidism at birth varies from 2 to 5% and the testis mostly descend during the first 6 months of life. In large clinical series, the majority, 75-80% of undescended testes are palpable and 60-70% are unilateral involvement of the right side is more common. The recommended age of orchiopexy progressivley descreased from 10-15 years in the 1950 until the last decade, orchiopexy is recommended between 6-12 months. OBJECTIVE: The aim of this study was to determine the most of favorable age at which orchipexy should be performed PATIENTS AND METHODS: Fifty 50 newborn boys babys with undescended testes was followed up through two years from February 2015 to February 2017 in a private clinic in Baghdad. Follow up done every 3 months included examination of the inguinal and scrotal area to palpate the position of the testis, and history taken for the family history of undescended testis. RESULTS: Forty one (82%) babies with unilateral undescended testis, follow up of 1 year, 36.6% of babies, the testes were descended down to its normal position, and only one case (2.4%) had incomplete descent. Those with bilateral undescended testes (9 babies; 18%), only 11.1% of them had complete descent to normal position. CONCLUSION: Boys with retractile testes do not need medical or surgical treatment but require close follow up. Spontaneous descent of testes from inguinal to suprascrotal or scrotal position are observed in majority of infant boys during first year of life.
Keywords
Cryptochidism; orchiopexy

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