Undescended testis

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Quotes from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "Preoperative radiological evaluation was not recommended in the guidelines on NPT [4, 5]." "USG is an easy to perform noninvasive tool with no risk of anesthesia and radiation; but it has low efficacy at diagnosis to detect the presence of the testis or the absence of an intra-abdominal testis and is dependent on who performs. However, USG may be helpful in obese children, in cases of suspected DSD, to identify Mullerian structures and for determination of the exact size of pathologic and contralateral testes [6]."

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "For preoperative evaluation and diagnosis of unilateral NPT, physical examination is all needed, and no laboratory investigation is necessary. In unilateral NPT, compensatory hypertrophy of the contralateral testis may suggest testicular absence or atrophy. Monorchidism was observed in 95% of patients with a contralateral testis 2 cc or larger in the series of Belman and Rushton [3], but this sign is not specific and does not preclude surgical exploration. In cases of bilateral NPT or unilateral NPT accompanied by anomalies of genital …

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[size=20px]A 2-year-old boy is referred to your clinic with scrotal asymmetry and a suspected diagnosis of undescended testicle. His mother reports that he was born with a swollen, firm right hemiscrotum that resolved completely after several weeks, and scrotal asymmetry has been present since then. Physical examination confirms a normal left testicle. The right hemiscrotum is comparatively small, however a 3-4 mm “nubbin” is palpable. An inguinoscrotal ultrasound confirms a slightly hypertrophied left testicle and an atrophic right testicular remnant within the scrotum. The best next step in care should be: A Laparoscopy to exclude intraabdominal testicle B Transsc…

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[center] Orchiopexy for Left Undescended Testis ( One year old boy). By Dr Tamer Ashraf Wafa, PhD, MRCS see in next post[/center]

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