Management of undescended testes: A prospective study

Muthanna Medical Journal
Volume 6, Issue 2,  2019 Page 53-59
http://dx.doi.org/10.18081/2410-4590/2019-53-59

Research Article

Muhammed Hassen Jaafar 1, Safaa. Ibrahem Khadem², Asaad Jabber Alrubaie2

* Correspondence author: drmhj66@gmail.com
¹College of Medicine, University of Misan
²Department of surgery, Al-Sader teaching general hospital
Received 25 August 2019, Accepted 13 October 2019, Available online  27 October 2019.
This is an article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses), which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited. Copyright © 2019 MJ

Abstract

Undescended testis is the most common genital anomaly that affects infants and boys. It has serious complications if left untreated at the proper time. The aim of treatment is to replace the testis to its normal scrotal position where normal testicular development and spermatogenesis occurs. A total of 60 patients with undescended testes were enrolled in this prospective study that extended over three years. Ages with the mode of presentations, methods of identification (physical examination vs. ultrasound study), types of surgery and the results of histopathology were all reported. Only 10 patients (16.6%) presented within the recommended time of surgery (< 2 years). Regarding the mode of presentations: for 26/60 patients (43.3%) the pathology was detected by their parents, 6/60 (10%) were detected by the patients themselves and the remaining 28/60 (46.6%) presented with complications. Identification and localization of the undescended testes were made clinically in 55/60 patients, whereas only in 41/60 patients were the undescended testes detected by ultrasound examination. Overall, 48/60 patients (80%) were treated by orchiopexy and 9/60 patients were treated by orchiectomy. The histopathology of the excised testes revealed permanent testicular damage in all the specimens. In-Conclusions: There is a lack of enough public awareness about this problem and its complication in our society. Orchiopexy at the proper time effectively prevents testicular damage, whereas orchiectomy is reserved for neglected damaged testes to avoid serious complications.
Keywords:  Undescended, Testis, Orchiopexy

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Impact of maternal overweight and obesity on neonates delivered at Al-Emamain Al-Khadamian medical city

Muthanna Medical Journal
Volume 6, Issue 2, October 2019 Page 35-52
http://dx.doi.org/10.18081/2410-4590/2019-35-52

Research Article

Areej Al-Omrani 1, Abdul Karem Jasem AL-Bahadle, Sarmad Raad Kadhim 2

* Correspondence author: dr.albahadleak@colmed-alnahrain.edu.iq
¹Dept.of Pediatrics,college of Medicine,AL-Nahrain University
² Al-Emamain Al-khadamian Medical City
Received 22 August 2019, Accepted 11 October 2019, Available online  26 October 2019.
This is an article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses), which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited. Copyright © 2019 AA

Abstract

The obesity is a problem of global importance with a significant impact on maternal-fetal health. Maternal overweight and obesity cause pregnancy complications such as gestational diabetes, hypertension and preeclampsia and affects fetal growth. The aim of study is to evaluate neonatal complications at birth associated with maternal obesity, expressed as body mass index (BMI) in a sample unselected geographical population. This is a cross-sectional study; it was done at the departments of NICU and Gynecology in Al-Emamain Alkhadamian Medical City hospital in Baghdad from the period 1st of February 2017 to the 31th of December 2017. A total of 514 pregnant women who gave birth in that period were included in this study. We divided them into three groups according to the (BMI) BMI (20-25 kg/m2) Normal =257 pregnant women, BMI (25.1-30 kg/m2). Overweight =183 pregnant women & BMI >30 kg/m2 Obese = 74 pregnant women. Obese women had a significant increase of incidence than average-weight women to have an infant with congenital heart diseases (14.78%), neural tube defect (9.33%), orofacial clefts (13.61%), multiple congenital anomalies (3.3%), RDS (18.67%), hypoglycemia (10.5%), low Apgar score (53.69%), low birth weights (3.5%), macrosomia (21.4%) and preterm and postdate deliveries (95.71%). In conclusions, a significant association between mothers’ BMI > 25 and fetal outcomes, the most common congenital anomalies associated with maternal BMI >25 were the congenital heart diseases and neural tube defects. There was an increase in the frequencies of other neonatal complications like: (RDS, low birth weights, macrosomia, hypoglycemia, orofacial clefts, low Apgar score, and others).

Keywords:  Body Mass Index, Neonatal complication, Obesity

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Childhood psoriasis a clinical and epidemiological study in Samawa city

Muthanna Medical Journal
Volume 6, Issue 2, October 2019 Page 29-34
http://dx.doi.org/10.18081/2410-4590/2019-29-34

Research Article

Arwaa A. abdul-hussein1, Fatima Emad Hussain, Haider Hamid Shaker2

* Correspondence author: shoaqy@gmail.com
¹Al Muthanna university, college of medicine
² MOH, Al- hussain teaching hospital
Received 9 August 2019, Accepted 01 October 2019, Available online  15 October 2019.
This is an article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses), which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited. Copyright © 2019 SW

Abstract

Childhood psoriasis is common, but it has not been adequately reported in our city. This study was done to evaluate the epidemiological and clinical findings in children with psoriasis and to compare the data with those from other studies. Thirty children with psoriasis were taken in this study which is done in outpatients’ dermatological clinic during the period from July of 2018 to December of 2018. The age of our patients ranged from 6 months to 14 years, in which there are17 boys and 13 girls. The Plaque type psoriasis and generalized distribution were the commonest findings. Positive family in (36.6%), kernelization was (30%). The frequent symptom was pruritus (16.6%) and discomfort 10%. As a result, childhood psoriasis is a different entity from adult psoriasis, early diagnosis, and appropriate management are particularly important in children to solve long-term disease-related psychosocial problems.

Keywords:  Psoriasis, Vulgaris, Guttate, Childhood

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