A Three years audit of surgical management of un-descended testis - Experience at King Fahad Hospital,al Baha,KSA

Aims: to collect the data regarding age,preoperative,operative findings & postoperative outcomes and complications. to compare our results with national and international literatures. duration: 3 years (january,2011 to december,2013) study design: retrospective analysis. setting: department of pediatric surgery,king fahad hospital,al baha,ksa. methods: a retrospective study was conducted from jan 2011 to dec 2013. the data of all operated cases of udt was retrieved from operation theatre register,inpatient department,opd and from medical record office. the files of these patients were reviewed regarding age at presentation,preoperative and postoperative findings and outcomes. all operative cases were included in the study except with incomplete record and missing file. results: a total of 141 patients were operated but due to incomplete records or missing files,only 116 patients were analyzed for results. the operated patients have age ranging from 8 months to 11 years. 68(58.6%) patients have age up to 2 years and 48(41.3%) were more > 2 years age. the mean age at surgery was 34 months (almost 3 years). 58(50%) were operated as daycare surgery and discharged on same day while 55(47.4%) were admitted as inpatient and discharged on first postoperative day. three patients of undescended testis presented in emergency as case of testicular torsion. conclusion: we conclude that majority of the patients of udt presented or operated late and also in late operated cases,testis was small size,which has bad impact on fertility in these children. so there is need to run awareness program through symposiums and media among general practitioners,pediatrician and public about early diagnosis,preoperative timing and early surgical management thee children to prevent complications like infertility,sub-fertility,malignancy and psychological stress.