The Undescended Testes in Children: a Prospective Epidemiological Study O.A. Adesanya, A.O. Ademuyiwa, O.A. Elebute, R. Ojewola, C.O. Bode (original) (raw)
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International Surgery Journal
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Undescended Testes in Children: Clinicopathological Study of 32 Cases
TAJ: Journal of Teachers Association, 2018
Objective: To study the presentation, management, histopathological findings and outcome of undescended testes in children. Method: It was a prospective study done in Rajshahi Medical College Hospital and also private clinic in Rajshahi Metropolitan City during the period of 1 st December, 2007 to June, 2010. Thirty two children aged 4 months to 13 years with 40 undescended testes were selected in this study. Interventions like Orchidopexy, orchidectomy, herniotomy were done. Results: The age at surgery was four months to 13 years (mean 5.25 + 0.61 SE years). Nine (28.13%) had corrected before two years, twenty three (71.87%) after two years. Twenty four testes (60%) were palpable and sixteen (40%) were non-palpable, none of then cases was diagnosed at birth. Ultrasonography was performed in all cases. Evaluation was done by clinical, sonological, pre-operation and histopathological findings, Laparoscopy was done in one case. The condition was unilateral in 24(75%) and bilateral in Eight (25%). Forty percent of the testes were in the inguinal canal, 34% at the external ring and 10% at the internal ring and 16% in the abdomen. Fifteen (46.87%) testes were macroscopically smaller in size, four (10%) testes were atrophic (all were canalicular), one was tumour. Orchidopexy was performed in for 35 undescended testes and orchidectomy for five. Scrotal haematoma developed in 2 cases. Histopathological finding showed no spermatogonia in 25 (78.12%), among then 23 were above 2 years, 2 were below 2 years. Follow-up period were 6 months to 18 months, no atrophy/retraction was observed.
Management of Undescended Testes: A Retrospective Study from a Tertiary Hospital in Ethiopia
Background: Undescended testis is one of the commonest congenital malformations seen in boys. The aim of this study is to evaluate the pattern of presentation, approach to diagnosis, treatment and follow up in Tikur Anbesa Specialized Hospital, a tertiary teaching hospital in Ethiopia. Methods-This is a retrospective cross sectional study of all boys with undescended testis operated in Tikur Anbesa Specialized Hospital between September 2012 and August 2014. Results: Of 82 boys operated within the study period, 66 boys with 78 undescended testes are studied. Twenty-six percent (17/66)came before the age of 2 years, while the majority of the study group, 50% (33/66), presented beyond 5 years of age. Of the 17 boys brought to the hospital before 2 years, only 41% (7/17) them were treated before the age of two years. The majority 89% (59/66) of the boys were treated after 2 years of age. Seventy-one testes of 78 [91%] were in the inguinal canal, 5 were intra-abdominal and 2 were absent...
Presentation and management of undescended testes: a prospective study
International Surgery Journal, 2018
Background: Cryptorchidism is one of the most common disorders encountered in pediatric urology. This can lead to infertility, higher risk of testicular trauma, testicular malignancy, torsion testis, and strangulation of associated inguinal hernia. Hence a study was conducted to evaluate the presentation, complications, and the management of undescended testis.Methods: Patients presented with undescended testis to the General Surgery Department in a tertiary center from November 2012 to May 2014 were included in the study.Results: A total of 40 patients studied during the study period. Thirty-four (85%) testes were palpable. Twenty-four (60%) testes were intracanalicular in position. Thirty-eight (95%) patients underwent orchidopexy and two (5%) underwent ochidectomy (one gangrenous torsion testis and one nubbin). Three (8%) patients developed hematoma; one had superficial surgical site infection. No patient developed testicular atrophy, and no one developed ascending testis.Conclus...
World Journal of Pediatric Surgery
ObjectiveUndescended testes (UDT) is the most common anomaly of the male genitourinary tract. The guidelines suggest that orchidopexy in congenitally UDT should be performed between 6 months and 18 months of age, while in acquired UDT, orchidopexy should be performed before puberty. Delay in treatment increases the risk of cancer and infertility. The main aim of this study was to determine whether we meet international standards in the treatment of UDT.MethodsThe present study included all boys who underwent orchidopexy either due to congenital or acquired UDT in 2019 (from January 1 to December 31). For each group, laterality, location, associated anomalies, premature birth and in how many cases ultrasound was applied were determined. Additionally, for each group, the types of surgery, the number of necessary reoperations, and in how many cases atrophy occurred were determined. Finally, ages of referral, of clinical examination, and of orchidopexy were determined.ResultsDuring this...
A clinical study of undescended testes
International Surgery Journal, 2020
Since ancient times, it has been recognized that the testes need to be fully descended in the scrotum for normal functioning. indeed, the testes derives the name from the Latin word "witness", following the custom in the roman times to hold the testis when taking an oath. Hence, one of the primary concerns of paediatric surgeon and urologist has been the development of surgical procedures to place an undescended testis (UDT) into the scrotum. With the advent of paediatric surgery as an independent speciality, surgeons have taken a greater interest in the surgery of children and its outcome. This has led to rapid change in attitudes to long term outcomes: not that long ago success of surgery was measured by such crude criteria as cosmetic result or survival, which could be determined immediately. However, now the profession and the community require and expect much higher standard, such that now the yardstick for success in the management of UDT is normal fertility and a low risk of malignancy in adult life. Community attitudes and information about long term outcomes are about accumulating at a rapid rate, as evidence by the fact that standard texts only 25 year ago ABSTRACT Background: The aim of the present study was to study the clinical presentation of undescended testis (UDT) as regards to age, position, side and study the management on UDT. Methods: Total 41 patients, 50 UDT cases were studied prospectively. Patients below the age of 15 years with history of absent testes in the scrotum were included in the study and patients with retractile testes were excluded. Patients were subjected for ultrasonography (USG) scrotum. Palpable UDT and those were located on USG were subjected for open or laparoscopic assisted orchiopexy or 2 stage Stephen-Flower orchidopexy or orchidectomy. Results: 41.4% patients were between age group of 1 to 5 yrs. 43.9% patients were having right sided UDT. 76% testes were palpable only. 21.9% were having bilateral UDT. 48% testes were present in inguinal canal. In 80% patient's orchiopexy was done. One patient (2.4%) had postoperative wound infection. Conclusions: In our study the maximum number of cases were recorded between 1 to 5 years of age. Right sided UDT were common presentation. Maximum UDT were palpable. We also concluded that USG remains the specific non-invasive modality of diagnosis and localization. Almost half of them were present in the inguinal canal. Orchidopexy is the most common technique for placement of UDT in the scrotum. There were low complications and high success rate in treating UDT. We concluded that there is need of coordinated campaign between surgeons, pediatricians, general practitioners and community workers for timely intervention of UDT and advice for early approach for treatment.
Undescended Testes: Incidence in 1,204 Consecutive Male Infants and Outcome at One Year of Age
2004
Background: Undescended testes (UDT) are a common congenital abnormality occurring in 2–5% of full-term boys at birth in the Western countries. By one year of age, the incidence rate spontaneously reduces to 1–2% in this group. Men with a history of UDT are at a higher risk of testicular cancer. Impaired fertility is another long-term risk associated with UDT. Although our knowledge on cryptorchidism has increased considerably over the last decades, many questions remain to be answered: Is the incidence rate increasing? What are the causes of undescent? Materials and methods: It was a hospital-based study. Totally, 1204 consecutively born boys were examined for cryptorchidism at birth and, if present, again at one year of age. The effect of birth weight, gestational age, the presence of other sexual abnormality in an individual, maternal history of gestation abnormalities, the mode of delivery and complications, parental constitutional and professional factors regarding cryptorchidi...
Study and Management of Undescended Testes
To study the clinical profile, location, role of ultrasonography and different surgical modalities for the treatment of UDT at various sites. Method: Total 43 patients (49 undescended testes) cases of UDT were studied prospectively. Patients above the age of six months with history of absent testes in the scrotum either unilateral or bilateral were included in the study and patients with intersex disorder or retractile testes were excluded. Study was prospective. Patients were subjected for USG scrotum. Palpable UDT and those were located on USG were subjected for orchiopexy or orchidectomy. Impalpable testes were subjected for examination under general anesthesia and treated accordingly. Results: 72% patients were between age group of 5 to 15 yrs. 48.8 % patients were having right sided UDT 89.8% testes were palpable only 14% were having bilateral UDT 59.2% testes were present in inguinal canal.10.2% UDT were not located on USG 81.63% patients orchiopexy was done. Three patients (6.93%) were having post operative wound infection Conclusion: Need of coordinated canpaingn between surgeons, pediatricians, general practitioners and community Workers for timely intervention of UDT. Right sided UDT is common presentation. Ultrasonography remains the specific non-invasive modality of diagnosis and localisation. and orchiopexy is most common technique for placement of undescended testis in the scrotum with low complication rate and high success rate.
Journal of National Institute of Neurosciences Bangladesh
Background: The most common paediatric disorder among boy is undescended testis (UDT) which is usually identified during birth and these patients require proper treatment at the appropriate time due to increased risk of torsion, infertility, testicular cancer and associated inguinal hernia(>90%) as well as for cosmetic purposes. Objective: The purpose of this study was to determine side, palpability, age at presentation, associated anomalies and treatment plan in our institution. Methodology: This retrospective study was carried out in the department of Paediatric Surgery of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from January 2017 to June 2019. Results: In this study 1.08% (213 children had UDT out of total paediatric outdoor 19803 patients) boys had UDT. They were aged from 7 months to 15 years (mean 5.61±3.81 years) at presentation. Only 16 (7.5%) patients presented within the 1 years of age in this study. 51.8% of patients presented at the age o...
Indian Journal of Pediatrics, 2004
Undescended testis or cryptorchidism is a common problem encountered in children. Despite the abundant literature on the pathology and management of undescended testis, it is the subject of numerous misgivings and controversies. The article reviews available literature on the entity and their relevance in clinical practice.