Bilateral Nonpalpable Cryptorchidism in Adults; Does Social Class Influence Presentation?

Abstract

The study investigated the social class profile of adults with bilateral non-palpablecryptorchidism in NorthernNigeria. Methods: A 5 year retrospective review of adults with bilateral non-palpable testes presenting in 3 tertiary health facilities in Northern Nigeria was done. Social classification was done according to the Registrar General’s classification. Patients’ presenting complaint, laparoscopy findings and definitive therapy offered were analysed, and presented as tables and percentages. Chi square was used to test for significance in occurrence of cryptorchidism between Social Classes.Results:28 patients’ records were available for review. Mean age at presentation was 28.5 years .Social Class II patients constituted 3.6% of the study population, 32.1% were in Social Class III, and 39.3% were in Social Class IV while 25% were in Social Class V (p=0.220).The main reasons for consultation were primary infertility in 42.8% and empty scrotum in 50%. One patient (3.6%) presented with features of metastatic testicular carcinoma. Diagnostic laparoscopy was done in only 45% ofpatients. Treatment consisted of an orchidopexy in 75.9% cases and orchidectomy in 18.5%.Conclusion: There is a difference in occurrence of cryptorchidism betweensocial classes. This can be partly explainedby deprivation and poor socioeconomic conditions in life. Patients may come to the fore when being evaluated for infertility. It is necessary to increase awareness, health educate the populace and elevate socioeconomic status to avoid late presentation.