Abstract
Abnormalities of the male external genitalia and groin, a set of lesions which may be congenital or acquired, are rather obscured to many kids and their parents and Nigerian health care system has no formal program to detect them. To identify and determine the prevalence of abnormalities of external genitalia and groin among primary school boys in Bida, Nigeria. This was a cross-sectional study of primary school male pupils in Bida. A detailed clinical examination of the external genitalia and groin was performed on them. Abnormalities were detected in 240 (36.20%) of the 663 boys, with 35 (5.28%) having more than one abnormality. The three most prevalent abnormalities were penile chordee (37, 5.58%), excessive removal of penile skin (37, 5.58%) and retractile testis (34, 5.13%). The prevalence of complications of circumcision was 15.40% and included excessive residual foreskin, excessive removal of skin, skin bridges and meatal stenosis. Undescended testes were seen in 6 (0.90%) boys, with median age of 9 years and 2 were bilateral. Also, micropenis was detected in 27 (4.07%) of the pupils. Inguino-penoscrotal abnormalities are common in our community (36.20%). Screening of pre-school and school children to detect them should be introduced into the school health programs in Nigeria.
Highlights
Abnormalities of the male external genitalia and groins are a set of lesions which may be congenital or acquired but are rather obscured to many kids and their parents
The acquired ones may result from circumcision which includes excessive residual foreskin, excessive removal of skin, meatal stenosis, granuloma, penile torsion, secondary chordee, skin bridges, glans amputation, inclusion cyst, urethro-cutaneous fistula etc
In the practice of the lead author, a number of adult male patients have presented at the clinic with infertility and examination revealed bilateral undescended testis, which as expected were atrophic and located in the groin or abdomen
Summary
Abnormalities of the male external genitalia and groins are a set of lesions which may be congenital or acquired but are rather obscured to many kids and their parents. The acquired ones may result from circumcision which includes excessive residual foreskin, excessive removal of skin, meatal stenosis, granuloma, penile torsion, secondary chordee, skin bridges, glans amputation, inclusion cyst, urethro-cutaneous fistula etc Previous studies on these abnormalities reported prevalence as low as 6.65% and as high as 18.31%, among primary school male pupils aged 6-12 years.[1,2] In Nigeria, there is no formal setup or program in our health care system for the detection of these abnormalities. Abnormalities of the male external genitalia and groin, a set of lesions which may be congenital or acquired, are rather obscured to many kids and their parents and Nigerian health care system has no formal program to detect them.
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