The Utility of Ultrasonography in the Management of Undescended Testis in a Developing Country

Ekenze, Sebastian O.; Nwankwo, Elochukwu Perpetua; Okere, Pcn

doi:10.1007/s00268-012-1532-1

Cited by 15 publications

(6 citation statements)

References 31 publications

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“…Ekenze SO et al, says ultrasound does not reliably localize non-palpable testis and does not rule out an intraabdominal testis. 11 Moore RG et al, stated that diagnostic laparoscopy has been commonly used for the assessment of non-palpable testis, with the accuracy of testicular localization reported to be >95%. 6 Compared to above mentioned reports laparoscopy was found to be more accurate than the ultrasonography for non palpable testis even in our study.…”

Section: Resultsmentioning

confidence: 99%

A study on surgical management of undescended testis

Mallikarjuna¹,

Dhotre²,

Shanmukhappa³

2018

Int J Res Med Sci

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Background: Cryptorchidism which is synonymous with Undescended testes. It is one of the most common congenital anomalies found in children. The aim is to study the surgical management of undescended testis in relation to age, position, side, symptoms, complications and management of undescended testis. This study will present an overview of the current understanding of this challenging problem, mainly concentrating on surgical management.Methods: About 30 cases of undescended testis were included in the study, which were diagnosed with regards to age of presentation, clinical features, inclusion and exclusion criteria and relevant investigations like ultrasonography, diagnostic laparoscopy, CT whereever required. Cases were managed accordingly in the course of study and sampling of cases was taken from Bapuji Hospital and C.G. Hospital, Davangere during the study period.Results: Undescended testis was found more common on right side and most of them presented with the age group of 1-15 years with absence of testis in the scrotum being the most common complaint and hernia was found to be most commonly associated with undescended testis. Most common position of undescended testis was found to be intra-canalicular with most of them being palpable. The only one case had torsion and few of the cases had post operative complications like, wound infection haematoma. Open and laparoscopic orchidopexy can be used as most common procedure in early age group.Conclusions: Undescended testes is eminently treatable in today’s practice with the surgical procedures, an early diagnosis, informed counselling of parents and optimal surgical management offer optimised opportunities for successful placement and function of the testes which lessen the burden of complications.

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Section: Resultsmentioning

confidence: 99%

A study on surgical management of undescended testis

Mallikarjuna¹,

Dhotre²,

Shanmukhappa³

2018

Int J Res Med Sci

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“…L'intérêt de l'échographie pour la localisation testiculaire chez les enfants présentant une cryptorchidie est encore controversé. Elle peut repérer les testicules non palpables en position inguinale mais sa sensibilité est très faible dans la détection des testicules abdominaux [16]. Quoi qu'il en soit elle n'a pas une très grande répercussion sur la stratégie thérapeutique.…”

Section: Les Aspects Diagnostiquesunclassified

Aspects epidemiologiques, cliniques et therapeutiques de la cryptorchidie chez l’enfant: analyse de 123 observations

Ndour

Fall

et al. 2015

African Journal of Urology

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Reçu le 31 mars 2013; reçu sous la forme révisée le 21 décembre 2014; accepté le 3 février 2015 MOTS RésuméButs: Le but de ce travail était de décrire les aspects épidémiologiques, cliniques et thérapeutiques de la cryptorchidie dans le service de Chirurgie Pédiatrique en milieu africain. Patients et méthodes: Il s'agissait d'une étude rétrospective sur 123 cas de cryptorchidie colligés du 1er Mai 2000 au 30 Avril 2008 au service de Chirurgie Pédiatrique du CHU Aristide Le Dantec de Dakar. Les paramètres étudiés étaient la fréquence par rapport aux autres pathologies du canal inguinal, l'âge, les motifs de consultation, l'examen physique, le constat opératoire, la durée d'hospitalisation et les suites opératoires en particulier les résultats cosmétiques et morphologiques. Résultats: La cryptorchidie était la troisième anomalie congénitale du canal inguinal après les hernies (1537 cas) et les hydrocèles (327 cas). L'âge moyen de nos patients était de 5,7 ans. La vacuité scrotal était le principal motif de consultation chez 105 patients (84,5%). La cryptorchidie était unilateral chez 111 patients (90,5%). Dans 34,5% des cas seulement le testicule était palpable. L'exploration chirurgicale avait retrouvé dans 93,43% des cas un testicule en position inguinale et dans 2,5% des cas un testicule en position abdominale. Un sac herniaire a été retrouvé dans 84,7% des cas. La connexion épididymo-testiculaire était mauvaise dans 43,1% des cas. L'abaissement « in dartos » a été realisé dans 97,5% des cas. La durée d'hospitalisation était en moyenne de 14,5 heures. Les suites opératoires étaient simples dans 87,8% des cas. Onze cas de complications ont été notés dont 5 cas de suppuration, 2 cas d'hématome du cordon, 2 cas d'atrophie testiculaire et 2 cas de récidive.

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“…Ultrasound was not found to be useful in identifying intra-abdominal testes. 23 A prospective study used high-resolution ultrasound to examine 40 boys with 52 UDTs, comparing the findings to those at surgical exploration. Up to 91% of palpable and 87% of non-palpable testes were identified, with an overall sensitivity of 90%, specificity 33%, positive predictive value 96% and negative predictive value 17%.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic management of non-palpable un-descended testes: our experience

Rather¹,

Majid²,

Waseem³

et al. 2019

Int Surg J

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Background: The purpose of the study was to determine the sensitivity and specificity of laparoscopy in localizing non-palpable testes, its therapeutic role, mean operative time, conversion rate, complications and hospital stay.Methods: A total of 52 patients were included in the study and was conducted from June 2012 to June 2017. These boys were examined as outpatients, at the time of admission and after general anesthesia to exclude palpable testes and were subjected to diagnostic and operative laparoscopy.Results: We identified 52 patients with 66 non palpable un-descended testes. The most common age of presentation was 1-4 years. Majority of patients i.e. 27 were on the left side. Ultra-sound identified testis >2 cm from deep inguinal ring in 20, near deep ring <2 cm in 20 and at inguinal canal in 6 patients. In the diagnostic laparoscopy, high intra-abdominal testis found in 34, low intra-abdominal testis in 24, blind ending of vas and vessels in 2 patients. The operative procedures performed are diagnostic laparoscopy, laparoscopic orchidopexy, laparoscopic orchidectomy, conversion to open orchidopexy and open orchidectomy. The mean operative time was 53.67±2.37 for unilateral and 102.76±5.38 for bilateral cases. The postoperative complications include surgical emphysema, wound infection and scrotal haematoma. The mean hospital stay was 14.23±2.37 hours for unilateral and 16.27±5.38 hours for bilateral.Conclusions: Laparoscopic orchidopexy appears to be a feasible, minimally invasive, less postoperative pain and trauma, faster convalesce and return to normal activity and an effective technique for the management of low intra-abdominal testes.

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The Utility of Ultrasonography in the Management of Undescended Testis in a Developing Country

Abstract: Ultrasound may identify some otherwise nonpalpable inguinal testes and hence affect therapeutic approach. It may, however, be unhelpful in truly abdominal and vanishing testes.

Cited by 15 publications

References 31 publications

A study on surgical management of undescended testis

A study on surgical management of undescended testis

Aspects epidemiologiques, cliniques et therapeutiques de la cryptorchidie chez l’enfant: analyse de 123 observations

Laparoscopic management of non-palpable un-descended testes: our experience

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