Background: Intussusception is the most common abdominal emergency in pediatrics, especially in children younger than 2 years of age. It is widely believed that hydrostatic reduction of intussusception is less successful in children with prolonged symptoms prior to their presentation. The aim of this study was to evaluate the success of hydrostatic reduction in relation to the duration of the symptoms. Patients and Methods: A prospective study was conducted at Alexandria University Hospitals where all children presented with ultrasound proven intussusception from January 2021 to May 2023 were included. In all cases, hydrostatic reduction was performed unless there was clinical or radiological evidence of peritonitis or perforation. Patient details, including the presenting symptoms, duration of these symptoms, physical findings, and the findings on abdominal x ray and ultrasound were prospectively recorded. Results: Out of 174 children presenting with intussusception, hydrostatic reduction was attempted in 148 and was successful in 117 (79%). There were 20 successful reductions with symptoms <12 hours (76%), 45 with symptoms for 12-24 hours (83%), and 35 with symptoms for 24-48 hours (76%) and 17 with symptoms >48 hours (77%). Conclusions: The success of the hydrostatic reduction was not significantly affected by duration of symptoms.
Background: Congenital penile curvature is a rare congenital condition manifests as abnormal curvature of the erect penis, which can lead to micturition and psychological consequences during the childhood period, and sexual and psychological effects during adulthood. Congenital penile curvature can be a deviation in one direction or a mixture of two directions, resulting in penile torsion. Aim: In this study, we describe our experience in treating fourteen boys with congenital penile corporeal torsion without hypospadias using the modified corporeal plication procedure in an oblique manner. T Material and Methods: The deformity was evaluated intraoperatively using saline artificial erection before and after the plication procedure, with further assessment during the follow-up period by parent's visual inspection and video recording of their son's erected penis. Results: The results of the oblique corporeal plication were satisfactory in all cases except one, who had a partial recurrence. Penile corporeal torsion, which successfully corrected the penile curvature and realigned the axial rotation in 93% of cases without the risk associated with incision or excision techniques conclusions: The use of this oblique plication technique is recommended for the correction of penile corporeal two-directional curvature, whether it is completely corporeal deformity or residual corporeal deformity after releasing the cutaneous chordae in cases of combined corpora-cutaneous curvature.
Background: Varicocele is characterized by abnormal dilatation of the pampiniform plexus veins and is seen in 14-20% of adolescent males. Treatment options are laparoscopic Palomo varicocele ligation (LPV) and microsurgical subinguinal varicocelectomy (MV). It is aimed to evaluate the results of patients who underwent surgical treatment for adolescent varicocele. Methods: The data of patients operated on for varicocele between 2012-2021 were analyzed retrospectively. The patients were grouped as LPV and MV according to the surgical method applied and evaluated in terms of treatment and follow-up results. Results: Forty-three patients aged 14.6 +/- 1.8 years were operated on for left-sided varicocele. LPV was applied to 29 (67.4%) and MV to 14 (32.6%). Operation duration was 54.4 +/- 15.3 minutes in LPV and 98.9 +/- 36.8 minutes in MV (p<0.0001). No intraoperative complications were seen. The mean follow-up duration was two years (6 months-5 years). In 62.5% of the patients with preoperative testicular atrophy, the operated testicle caught the size of the right testicle in 12 months. Testicular atrophy was not seen in any patients. Scrotal pain regressed in all. Four patients (9.3%) developed complications. Hydrocele was seen in one patient after MV and two patients after LPV. Recurrence was detected in one patient. The two groups had no statistical difference regarding complications (p=1,000). Conclusion: With surgical treatment of adolescent varicoceles, it is possible to eliminate the symptoms related to varicocele, such as pain, and reverse the atrophy process in the testicle. While operative durations are shorter and easy to apply in LPV, MV has lower complication rates.
