Hypospadias with cryptorchidism presented as ambiguous genitalia and its management with surgery

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dc.contributor.authorNooruzzaman, M.en_US
dc.contributor.authorHossain, A. K. M. Zahiden_US
dc.contributor.authorShabuj, M. Kamrul Hassanen_US
dc.contributor.authorMondal, Susankar Kumaren_US
dc.contributor.authorMahammad, Nooren_US
dc.contributor.authorIslam, K. M. Saifulen_US
dc.contributor.authorMunmun, Umme Habiba Dilshaden_US
dc.contributor.authorAtiquzzaman, Tarafder Mohammaden_US
dc.date.accessioned2024-09-24T07:16:05Z
dc.date.available2024-09-24T07:16:05Z
dc.date.issued2023-08
dc.description.abstractBackground: The incidence of hypospadias with cryptorchidism is about 6-31.6%. Current management recommendations are that undescended testis beyond three months needs surgery between 6-12 months of age. Proximal hypospadias and cryptorchidism overlap with disorders of sex development and endocrine problem. The aim of this study was to assess the outcome of surgical management of hypospadias with cryptorchidism, at selected centers in Dhaka, Bangladesh.Methods: This prospective study was conducted in the Department of Pediatric Surgery of Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh during the period from January, 2018 to January, 2022. In this study, we included 70 diagnosed cases of hypospadias with cryptorchidism presented as ambiguous genitalia who underwent surgery.Results: Mean age at surgery was 4.6�4 years and majority (91.4%) were male. Associated renal anomalies were absent in 81.4% cases, symptomatic renal anomalies were present in 11% cases, severe chordee was 62.9%. Abnormal hemiscrotum was 98.6% and normal hemiscrotum was 1.4%. Hernia with cryptorchidism was present in 30 % cases. Testosterone was normal in 94.3% patients, estrogen and progesterone was elevated in 5.7% patients. After operation, male was 94.3% and female was 2.9%, chordee condition was corrected in 81.4% and urine passed through tip of penis in 84.3% patients.Conclusions: We found that surgery is simple, safe, and effective in the treatment of patients with hypospadias and cryptorchidism with satisfactory functional results, normal physical health status, improved quality of life, satisfying psychological support and probably less pain.en_US
dc.identifier.affiliationsDepartment of Pediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladeshen_US
dc.identifier.affiliationsDepartment of Pediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladeshen_US
dc.identifier.affiliationsDepartment of Neonatology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladeshen_US
dc.identifier.affiliationsDepartment of Pediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladeshen_US
dc.identifier.affiliationsDepartment of Pediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladeshen_US
dc.identifier.affiliationsDepartment of Pediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladeshen_US
dc.identifier.affiliationsDepartment of Pediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladeshen_US
dc.identifier.affiliationsDepartment of Pediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladeshen_US
dc.identifier.citationNooruzzaman M., Hossain A. K. M. Zahid, Shabuj M. Kamrul Hassan, Mondal Susankar Kumar, Mahammad Noor, Islam K. M. Saiful, Munmun Umme Habiba Dilshad, Atiquzzaman Tarafder Mohammad . Hypospadias with cryptorchidism presented as ambiguous genitalia and its management with surgery . International Journal of Contemporary Pediatrics. 2023 Aug; 10(8): 1188-1193en_US
dc.identifier.issn2349-3283
dc.identifier.issn2349-3291
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/228499
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber8en_US
dc.relation.volume10en_US
dc.source.urihttps://doi.org/10.18203/2349-3291.ijcp20232234en_US
dc.subjectHypospadiasen_US
dc.subjectCryptorchidismen_US
dc.subjectPediatric surgeryen_US
dc.titleHypospadias with cryptorchidism presented as ambiguous genitalia and its management with surgeryen_US
dc.typeJournal Articleen_US
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