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

Abstract

Objective: Inguinoscrotal pathologies such as undescended testis, retractile testis, hydrocele be acquired or congenital;inguinoscrotal region anoma-lies 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 un-descended 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 pan-demic, scrotal pathologies that are not noticed by families or physicians of different departments can be detected by examining. © 2022 by Türkiye Klinikleri.