Abstract
Background:Children with undescended testis (UDT) are often referred late for surgical treatment that can have a detrimental effect on future prospects of fertility.Objective: To assess the knowledge level of doctors working in pediatric medicine service about the management of undescended testis (UDT).Study type,settings & duration:The Cross sectional study was conducted in National Institute of Child Health, Jinnah Sindh Medical University Karachi, from January 2020 to June 2020.Methodology:A written test was taken about the management of UDT. Scores were calculated for each response and entered into SPSS version 22. Statistical significance of correct responses for each question among graduates, postgraduate residents and consultants was calculated using Chi square test. One way ANOVA and post-hoc analysis was used to comparethe mean scores between the groups. A p < 0.05 was considered as significant.Results:A total of 135 doctors participated. Median score obtained was five. Sixty-nine (51.1%) participants knew the importance of neonatal examination for the position of gonads. Seventy-six (56.3%) were aware of physical characteristic of UDT. Ninety-six (71.1%) knew the treatment of UDT is surgery. Thirty-eight (28.1%) participants were aware of the latest recommendation of age at surgery. A significant difference in response was noted among doctors about the physical characteristic of scrotum in UDT (p=0.013), possible pathological outcome (p= 0.026) and the mean scores with respect to designation/ experience (p= 0.021). Post-hoc analysis revealed significant difference between mean scores of medical graduates and consultants.Conclusion: The knowledge of study participants about the management of children with UDT was sub-optimal.
Shumaila Israr, Jamshed Akhtar, Syed Muhammad Raees Hussain Taqvi, Naima Zamir, Safia Bibi. (2021) Gaps in Knowledge about the Management of Children with Undescended Testis: A study from Tertiary Care Pediatric Hospital, Pakistan Journal of Medical Research, Volume-60, Issue-1.
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