Purpose: The purpose of this study is to assess the value of adding diffusion-weighted sequences (DW) to routine magnetic resonance imaging (MRI) in identifying and locating nonpalpable undescended testes. Materials and methods: This prospective study included 51 patients with age ranges from 2 to 15 years presenting with non-palpable undescended testes. MRI was done using1.5 MRI machine. MRI examination included axial and coronal spin-echo T1-weighted sequence, axial and coronal fat suppressed spin-echo T2-weighted sequence and axial DWI. Images were interpreted for the presence or absence and the location of the undescended testes. Testes were recognized by their elliptical shape and hyperintensity. Testes were classified into three anatomic regions: intracanalicular, low intra-abdominal, and high intra-abdominal. Laparoscopy was used as a gold standard. Results: Conventional MRI showed a sensitivity, specificity and accuracy of 87.23%, 50% and 83% respectively. DW MRI showed a sensitivity, specificity and accuracy of 91.5%, 66.7% and 88.6% respectively. The combined usage of conventional and DW MRI yielded a sensitivity, specificity and accuracy of 95.8%, 100% and 96.2%. Conclusion: DWI especially performed at a high b value improves detection of undescended testes.

No abstract

No abstract

Post penile implant sexual satisfaction in elderly patients is a multifactorial issue. In the present study, we investigated the possible implication of age on satisfaction after malleable penile implant surgery in elderly patients. We compared post‐operative sexual satisfaction in the elderly with that of a younger age group (reference group). Patients were classified into three groups according to their ages (group I <45, group II between 45 and 65, and group III older than 65 years old). Modified Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) questionnaire was used at 3, 6 and 12 months after implant surgery. EDITS scores showed statistically significant high satisfaction rates in all age groups. EDITS scores were higher in the early post‐operative period in younger groups compared to elderly patients. However, the difference between groups was insignificant at 12 months post‐operatively (p value = .06). Our results show that elderly patients have a high post‐operative satisfaction rate close to that of younger age groups, and they are suitable candidates for penile implant surgery with good and realistic post‐operative sexual satisfaction expectations.