Special Pediatric Surgery Forums
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lecture link
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Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "In cases where there is bilateral non-palpable UDT, a human chorionic gonadotropin (HCG) simulation test is helpful to determine if there is any functioning testicular tissue [1]. On occasion, full descent will be noted after HCG, allowing the clinician to arrive at the diagnosis of retractile testes. While the testicles will recede as the hormonal stimulation dissipates, the condition will correct itself at puberty."
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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 re…
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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]."
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