Sarr A, Sow Y, Fall B, Ze Ondo C, Thiam A, Ngandeu M, Diao B, Fall PA, Ndoye AK, Ba M, Diagne BA. [Pathology of the processus vaginalis in urological practice].
Prog Urol 2014;
24:665-9. [PMID:
25214297 DOI:
10.1016/j.purol.2014.05.004]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2013] [Revised: 04/14/2014] [Accepted: 05/20/2014] [Indexed: 11/29/2022]
Abstract
PURPOSE
To describe the epidemiological, anatomico-clinical and therapeutic aspects of the patent vaginoperitoneal canal (PVPC) in urological practice and to compare our results with those of pediatric teams.
PATIENTS AND METHODS
We performed a retrospective descriptive study of PVPC cases operated in a urology unit. The following parameters were studied: medical history, age, method of installation, the anatomo-clinical type, side and the results of the treatment.
RESULTS
A total of 163 cases were collected over a period of 5 years. The average age was 7.5 ± 7 years with a range of 2 months and 39 years. Thirty-four patients had less than or equal to age 2 ears and 28 patients were adults. The reason for consultation was an inguinal or scrotal inguinal, painless and intermittent swelling in 72.3% of cases. Installation mode was progressive in 45 patients (27.6%). The PVPC was sitting right in 81 patients (49.7%) and was bilateral in 12 patients (7.3%). The anatomo-clinical types were dominated by the communicating hydrocele (52%). The treatment was carried out in controlled surgery in all patients and the mean duration of hospitalization was 24 hours. The postoperative course was marked by 5 cases of scrotal hematoma and 2 cases of parietal suppuration. Postoperative mortality was zero. After a mean postoperative decrease of 2 years we observed 3 cases of testicular atrophy and two recurrences.
CONCLUSION
Our results in terms of morbidity and mortality although satisfactory were lower than those of pediatric teams.
LEVEL OF EVIDENCE
5.
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