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Laparoscopic Management of Undescended Testis: Results and Outcomes in a Pediatric Population

Open Journal of Pediatrics 2022年第1期12卷 47-58页

作者： C. Kamadjou h. e moby A. Kameni e. Muh.wenimana F. F. Mouafo Tambo F. Angwafor Medical and Surgical Center of Urology Douala Cameroon Faculty of Medicine and Ph.rmaceutical Sciences Department of Surgery and Specialties University of Douala Douala Came-roon Kigali Teach.ng h.spital Kigali Rwanda Gynaeco Obstetric and Pediatric h.spital Yaounde Cameroon Urology Residency Program Faculty of Medicine and Biomedical Sciences University of Yaoundé I Yaoundé Cameroon

Aim: Th.s study aimed to evaluate th. results of th. laparoscopic treatment of h.gh.and intra-abdominal undescended testes. Meth.ds: A retrospective study was carried out from 2014 to 2021 at th. Centre medico-ch.rugicale d’urologie in Douala. We consulted th. clinical records of 27 patients aged 6 - 15 years wh. underwent laparoscopic orch.opexy at our h.spital. We included patients with.unilateral or bilateral undescended testes as detected by palpation and excluded patients with.incomplete clinical records. Th. data collected were entered into Microsoft excel 2016 and exported to epi info 7 for analysis. Continuous variables were presented as mean values and standard deviations wh.le categorical variables were presented as frequencies and percentages. Th. th.esh.ld for statistical significance was set at p Results: Th. ages of th. 27 participants ranged from 6 years to 15 years, with.a mean age of 10.22 ± 2.68 years. h.pospadias was an associated abnormality in 7.41% of participants. Th. mean duration of th. surgical procedure was 80.56 ± 30.30 minutes. Th. overall success rate of th. laparoscopic procedure was 95.83%. Th. mean duration of postoperative h.spital stay was 26.67 ± 7.69 h.urs. Th. only postoperative complication we encountered was testicular atroph., wh.ch.occurred in 7.41% of participants. All our patients underwent single-stage laparoscopic procedures. Conclusion: Laparoscopy, wh.ch.is th. tech.ique of ch.ice for th. diagnosis and management of undescended testis, is more rapid, more effective, and ch.racterized by a sh.rter h.spital stay and fewer postoperative complications compared to open surgery. Single-stage procedures are as effective and safe as two-stage procedures.

关键词： Undescended Testis Laparoscopy Orch.opexy Orch.ectomy Single-Stage Procedure

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Th. Usage of Ultrasound in Diagnosing Retrocaval Ureter

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Open Journal of Urology 2017年第11期7卷 212-218页

作者： Kimassoum Rimtebaye h.rve edouard moby Mpah.Franklin Danki Silong Arya Zarif Agah.Tash.and Miangnal Kaboro Lamine Niang Serigne Magueye Gueye h.ocirc pital Général de Reference Nationale N’Djaména Tchad h.ocirc pital Laquintinie Douala Cameroun h.ocirc pital Protestant de N’Gaoundéré N’Gaoundéré Cameroun h.ocirc pital Général Grand Yoff Dakar Senegal

Introduction: Retrocaval ureter is a rare congenital anomaly concerning th. inferior vena cava and th. ureter, wh.re th. infra-renal segment of th. vena cava is in front of th. ureter embryologically normal. Th.s anomaly is more frequent in th. male sex. Its symptoms are dominated by righ. lumbar pain, wh.ch.is managed surgically as dictated by its intensity. Observations: Th. cases involved th.ee male patients aged 42 years, 38 years and 39 years respectively. Th.se patients h.d consulted for intermittent righ. lumbar pain similar to th.t of renal colic. Th. patients’ general condition was satisfactory. Renal function was normal. Urinary tract ultrasound, IVU and scanning were th. main imagery examinations used in diagnosing retrocaval ureter, confirmed by exploratory lumbotomy. Ureteral anastomosis in front of th. vena cava was carried out in th. 3 patients during simple surgical procedure th.t resulted in disappearance of th. lumbar pain. Conclusion: Retrocaval ureter is a rare congenital malformation, often encountered in th. male sex. Clinical symptoms are dominated by righ. lumbar pain similar to renal colic. Surgical treatment is dictated by th. intensity of th. pain.

关键词： Ureter Vena Cava embryology Renal Colic Laparoscopy

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