Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
COVID-19 Pandemisinde Tek Bir Cerrahla Sünneti İstenilen Çocuklarda Tespit Edilen Konjenital veya Edinsel İnguinoskrotal Patolojiler: Retrospektif Çalışma
Congenital or Acquired Inguinoscrotal Pathologies Detected in Children Who Applicable to Application with a Single Surgeon Who Requested Circumcision in the COVID-19 Pandemic: Retrospective Study
Olga Devrim AYVAZa, Ayşenur CELAYİRa
aSağlık Bilimleri Üniversitesi Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi, Çocuk Cerrahisi ABD, İstanbul, TÜRKİYE
Turkiye Klinikleri J Med Sci. 2022;42(1):21-6
doi: 10.5336/medsci.2021-86930
Article Language: TR
Full Text
ÖZET
Amaç: İnmemiş testis, retraktil testis, hidrosel gibi inguinoskrotal patolojiler edinsel veya konjenital olabilir; pek çok çocukta inguinoskrotal bölge anomalileri fark edilmeyebilir. Bu çalışma, sünnet istemiyle tek hekimden randevu alarak başvuran çocuklarda, muayene sırasında yeni veya geç tespit edilen konjenital veya edinsel skrotal patolojilerin değerlendirilmesi amacıyla yapıldı. Gereç ve Yöntemler: Ocak-Eylül 2021 tarihleri arasında, Sağlık Bilimleri Üniversitesi Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi Çocuk Cerrahisi polikliniğinden tek hekimden randevu alarak sünnet istemiyle başvuran hastalar retrospektif değerlendirildi. Muayene sırasında yeni tespit edilen skrotal patolojili olgular çalışmaya dâhil edildi. Veriler, 20,0 SPSS istatistik programına yüklenerek deskriptif değerleri saptandı. Bulgular: Sekiz aylık süreçte sünnet istemiyle başvuran 150 çocuğun ortalama yaşı 7,3±3,1 (minimum: 1 ay, maksimum: 12 yıl) yıl idi. Yüz elli hastanın 15'inde (%10) skrotal patoloji saptandı. Yedisinde (%4,7) retraktil testis, 6'sında (%4) inmemiş testis, 1'inde (%0,7) hidrosel tespit edilirken, 1'inde (%0,7) testis skrotuma gergin indirilmekteydi. Ortalama yaş, inmemiş testislilerin 6,83±2,32 (minimum: 3, maksimum: 10) yıl, retraktil testislilerin ise 5±3,06 (minimum: 1, maksimum: 11) yıl idi. Hidroselli olgu ise 3 yaşındaydı. Skrotal patoloji saptanan 15 hastada ultrasonografi (USG)/Doppler USG yapıldı. Skrotal patolojiler 10'unda (%67) sağ tarafta, 4'ünde (%27) sol tarafta, 1'inde (%6) ise bilateraldi. İnmemiş testis ve hidrosel tanılı 7 (%46,67, n=15) hasta opere edildi; 8'i (%53,33, n=15) takibe alınırken, sünnet operasyonlarının aciliyeti olmadığı için pandemi sonrası yapılması önerildi. Sonuç: Sünnet istemiyle başvuran olguların %10'unda ek bir skrotal patoloji olduğu muayenede fark edildi, %4,7'sinde operasyon gerekti. Koronavirüs hastalığı-2019 pandemisi döneminde, elektif operasyonlar yapılmasa dahi sünnet istemiyle başvuran tüm olguların muayene edilmesiyle ailelerin veya farklı branş hekimlerinin fark etmediği skrotal patolojiler saptanabilir.

Anahtar Kelimeler: COVID-19; sünnet; ürogenital anomaliler; ürogenital cerrahi işlemler
ABSTRACT
Objective: Inguinoscrotal pathologies such as undescended testis, retractile testis, hydrocele be acquired or congenital; inguinoscrotal region anomalies may not be noticed in many children. This study was carried out to evaluate new/late-detected congenital/ acquired scrotal pathologies during examination in children who applied for circumcision by making an appointment with a single physician. Material and Methods: Patients who applied for circumcision by making an appointment with a single physician from pediatric surgery outpatient clinic of University of Health Sciences, Zeynep Kamil Maternity and Children's Diseases Health Training and Research Center between January-September 2021 were evaluated retrospectively. Cases with new-detected scrotal pathology during the examination were included in this study. The data were uploaded to 20.0 SPSS statistical program, their descriptive values were determined. Results: The mean age of 150 children who applied for circumcision during the 8-month period was 7.3±3.1 (minimum: 1 month, maximum: 12 years) years. Scrotal pathology was detected in 15 (10%). Retractile testis was detected in 7 (4.7%), undescended testis in 6 (4%), hydrocele in 1 (0.7%), and in 1 (0.7%) testicle was lowered taut into the scrotum. The mean age was 6.83±2.32 (minimum: 3, maximum: 10) years for undescended testis, 5±3.06 (minimum: 1, maximum: 11) years for retractile testis. The patient with hydrocele was 3 years old. Ultrasonography (USG)/Doppler USG was performed in 15 patients with scrotal pathology. Scrotal pathologies were on right-side in 10 (67%), on left-side in 4 (27%), bilateral in 1 (6%). Seven patients (46.67%, n=15) with undescended testis and hydrocele were operated; 8 patients (53.33%, n=15) were followed up, circumcision operations were recommended to be performed after the pandemic. Conclusion: Scrotal pathology was noticed in 10% of the cases who applied for circumcision; 4.7% required an operation. Even if elective operations are not performed during the coronavirus disease-2019 pandemic, scrotal pathologies that are not noticed by families or physicians of different departments can be detected by examining.

Keywords: COVID-19; circumcision; urogenital abnormalities; urogenital surgical procedures
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