Cryptorchidism: strategies in detection

Nguyen, Hiep T.; Coakley, Fergus V.; Hricak, Hedvig

doi:10.1007/s003300050676

Cited by 52 publications

(22 citation statements)

References 31 publications

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“…Torsion of undescended testes were noted in one case also noted by Nguyen and Hricak. [25] Testicular Cysts Hamm et al [26] had an incidence of 4% of testicular cysts, while in our study it is 3%. In all cases they were seen as well circumscribed, anechoic lesions with thin smooth walls and posterior acoustic enhancement.…”

Section: Malpositioned Testescontrasting

confidence: 43%

Evaluation of Scrotal Lesions by Gray Scale Ultrasonography and Colour Doppler

Singh¹,

Gahlot²,

Agrawal³

et al. 2016

jemds

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BACKGROUNDUntil the mid 1970's, scrotal examination was limited to palpation and transillumination. Miskin and Bain (1974) first reported the use of Ultrasonography to examine testes and scrotum. With advancement like colour Doppler, ability to assess testicular vascularity increased. Although other radiological investigations have roles in specific situations, present study was undertaken to evaluate the usefulness and accuracy of sonography and colour Doppler in scrotal abnormalities.

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Section: Malpositioned Testescontrasting

confidence: 43%

Evaluation of Scrotal Lesions by Gray Scale Ultrasonography and Colour Doppler

Singh¹,

Gahlot²,

Agrawal³

et al. 2016

jemds

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“…Undescended testes carry a significantly higher risk for development of malignancy. It is reported that 10% of all testicular malignancies occur in undescended testes or in testes treated for cryptorchidism [9,10]. 976 Intra-abdominal testes carries a four times greater risk for development of malignancy than an inguinal testis [11].…”

Section: Undescended Testesmentioning

confidence: 99%

Imaging of the scrotum in children

et al. 2004

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Clinical examination of the scrotum is difficult due to the small size of the testes and the epididymis in infants and young children, and eliciting patients' history is challenging. Therefore imaging of the scrotum in childhood bears great importance. Ultrasound is the standard imaging technique of choice providing the clinicians with a definitive diagnosis in most cases. However, in conditions of testicular torsion and epididymoorchitis--the most common differential diagnosis of scrotal pain--ultrasound findings can be inconclusive and further evaluation is required. Since there is a large overlap between paediatric and adult pathology, differences from adults in anatomy and pathology must be considered when evaluating the paediatric scrotum.

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“…Despite a sensitivity of 70-90% in the diagnosis of inguinal testes, ultrasonography is not useful in intra-abdominal cases (14). Although presenting a better quality, both computed tomography and nuclear magnetic resonance lack sufficient sensitivity and specificity to be considered as gold standard diagnostic tools (15). More recently, the magnetic angioresonance was introduced with sensibility of 96% and specificity of 100%, but it is still a new method, with high costs, also requiring general anesthesia in children (16).…”

Section: Commentsmentioning

confidence: 99%

Laparoscopic diagnosis and treatment of nonpalpable testis

et al. 2008

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Introduction: Treatment of the cryptorchid testicle is justified due to the increased risk of infertility and malignancy as well as the risk of testicular trauma and psychological stigma on patients and their parents. Approximately 20% of cryptorchid testicles are nonpalpable. In these cases, the videolaparoscopic technique is a useful alternative method for diagnosis and treatment. Materials and Methods:We present data concerning 90 patients submitted to diagnostic laparoscopy for impalpable testicles. Forty-six patients (51.1%) had intra-abdominal gonads. In 25 testicles of 19 patients, we performed a two stage laparoscopic Fowler-Stephens orchiopexy. The other 27 patients underwent primary laparoscopic orchiopexy, in a total of 29 testicles. Results: We obtained an overall 88% success rate with the 2 stage Fowler-Stephens approach and only 33% rate success using one stage Fowler-Stephens surgery with primary vascular ligature. There was no intraoperative complication in our group of patients. In the laparoscopic procedures, the cosmetic aspect is remarkably more favorable as compared to open surgeries. Hospital stay and convalescence were brief. Conclusions: In pediatric age group, the laparoscopic approach is safe and feasible. Furthermore, the laparoscopic orchiopexy presents excellent results in terms of diagnosis and therapy of the impalpable testis, which is why this technique has been routinely incorporated in our Department.

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Cryptorchidism: strategies in detection

Cited by 52 publications

References 31 publications

Evaluation of Scrotal Lesions by Gray Scale Ultrasonography and Colour Doppler

Evaluation of Scrotal Lesions by Gray Scale Ultrasonography and Colour Doppler

Imaging of the scrotum in children

Laparoscopic diagnosis and treatment of nonpalpable testis

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