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[Cryptorchidism in Prune Belly syndrome]
Cheikh Seye1, Cheikh Diouf2, Mbaye Fall3
1Université Alioune Diop de Bambey, Diourbel, Sénégal.
Le Mali Medical
|November 16, 2023
Summary
Cryptorchidism in Prune Belly syndrome is typically bilateral and diagnosed late. The Fowler-Stephens technique in one stage leads to testicular atrophy and should be replaced by a two-stage approach.
Area of Science:
- Pediatric Surgery
- Urology
- Developmental Biology
Context:
- Prune Belly syndrome is a rare congenital disorder.
- Cryptorchidism is a common feature of Prune Belly syndrome.
- Understanding its management is crucial for pediatric surgical outcomes.
Purpose:
- To analyze epidemiological, diagnostic, therapeutic, and evolutionary aspects of cryptorchidism in Prune Belly syndrome.
- To evaluate surgical outcomes and complications.
- To provide recommendations for improved management.
Summary:
- A retrospective study of 24 cases over 11 years in Dakar.
- Identified an incidence of 2.4 cases/year, with late diagnosis (average 1 year).
- Bilateral cryptorchidism occurred in 91.7% of cases. Orchidopexy was performed in 95.8% of cases, with complications including testicular atrophy, particularly with the one-stage Fowler-Stephens technique.
Impact:
- Highlights the delayed diagnosis of cryptorchidism in Prune Belly syndrome within the study context.
- Suggests abandoning the one-stage Fowler-Stephens technique due to high rates of testicular atrophy.
- Recommends a two-stage Fowler-Stephens technique for better surgical outcomes in managing cryptorchidism associated with Prune Belly syndrome.
