Hydrocelectomy: a proxy for hydrocele prevalence in coastal Kenya

To assess the value of hydrocelectomy as an indicator of the prevalence of lymphatic filariasis, the frequency of hydrocelectomy was investigated in five hospitals in an area of coastal Kenya where filariasis is endemic. Two of the hospitals studied (Kinango and Msambweni) were in Kwale district, tw...

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Bibliographic Details
Published in:Annals of tropical medicine and parasitology 2000-07, Vol.94 (5), p.479-484
Main Authors: Mwobobia, I. K., Muniu, E. M., Kombe, Y., Wamae, C. N.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
Aged
Biological and medical sciences
Elephantiasis, Filarial - complications
Elephantiasis, Filarial - epidemiology
Elephantiasis, Filarial - surgery
Humans
Kenya - epidemiology
Male
Medical sciences
Middle Aged
Prevalence
Prospective Studies
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the genital tract and mammary gland
Testicular Hydrocele - epidemiology
Testicular Hydrocele - etiology
Testicular Hydrocele - surgery
Tropical medicine
Urologic Surgical Procedures, Male - statistics & numerical data
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Summary:To assess the value of hydrocelectomy as an indicator of the prevalence of lymphatic filariasis, the frequency of hydrocelectomy was investigated in five hospitals in an area of coastal Kenya where filariasis is endemic. Two of the hospitals studied (Kinango and Msambweni) were in Kwale district, two (Kilifi and Malindi) in Kilifi district and one (the Coast Provincial General Hospital) in Mombasa. Surgical operations performed between January 1991 and August 1993 were tallied from the main theatre registers. Additionally, admission files for hydrocelectomy patients were examined prospectively between September 1993 and February 1994, to obtain age profiles. Hydrocelectomies accounted for 27.6%, 16.6%, 13.6%, 4.3% and 2.0% of the major operations (totalling 6339) recorded in Kinango, Msambweni, Kilifi, Malindi and Coast Provincial General Hospital, respectively. The proportion of operations involving hydrolectomy was significantly higher in the two hospitals in Kwale district, in the southern part of the study area, than in the two hospitals in Kilifi district, in the northern part (23.4%, with 95% confidence intervals of 20.9%-25.9%, v. 10.3%, with 95% confidence intervals of 8.7%-11.9%; P
ISSN:0003-4983
1364-8594
DOI:10.1080/00034983.2000.11813566