Selective Use of Laparoscopy in Nonpalpable Undescended Testes

Overview

Journal Urol Ann

Specialty Urology

Date 2016 Feb 3

PMID 26834408

Citations 4

Authors

Yasser Abdulrahman Jamalalail

Luis A Guerra

Michael P Leonard

Affiliations

Soon will be listed here.

Abstract

Introduction: Approximately, 20% of undescended testes (UDT) are nonpalpable. Surgical management of the nonpalpable testis comprises laparoscopy. The aim of this study was to determine if ultrasonography can be used as a preoperative tool to localize the nonpalpable inguinal testis, eliminating the need for laparoscopy.

Methods: We identified 46 patients diagnosed with nonpalpable UDT between 2007 and 2012 who underwent an inguino-scrotal ultrasound preoperatively. We analyzed correlations between radiological and surgical findings.

Results: A total of 46 patients (53 UDT), median age 14 months (quartile 1(st): 7; 3(rd): 80) were included. Ultrasound localized the testis as intracanalicular in 24/53 (45.2%), intraabdominal in 10/53 (18.8%), scrotal in 1/53 (1.8%), and could not localize 18/53 (33.9%) testes. In 35/53 (66%) testes, the ultrasound location correlated with the surgical findings (P < 0.001). Ultrasound detection showed 96% sensitivity and 56% specificity for intracanalicular testes.

Conclusion: The use of preoperative ultrasound in this series was helpful in identifying the location of nonpalpable testes in children. In particular, the ultrasound finding of an intracanalicular testis may preclude the need for laparoscopy.

Citing Articles

Ultrasound manifestations and clinical features of nonpalpable testis in children.

Zhou W, Li S, Wang H, Zhou G, Wen J Sci Rep. 2022; 12(1):12245.

PMID: 35851046 PMC: 9293968. DOI: 10.1038/s41598-022-16230-2.

The role of laparoscopy in non-palpable undescended testicle: Analysis and review of the experience from two cities in Sudan.

Elgaili Salah S, Elssayed Ahmed E Afr J Paediatr Surg. 2022; 19(3):127-132.

PMID: 35775511 PMC: 9290369. DOI: 10.4103/ajps.AJPS_39_21.

Five testicles in the genital area of a thirteen-month-old baby: a case report.

Zahirian Moghadam T, Rad H, Zandian H, Hosseinkhani A BMC Urol. 2020; 20(1):128.

PMID: 32819440 PMC: 7439670. DOI: 10.1186/s12894-020-00681-8.

The Nonpalpable Testis: A Narrative Review.

Shepard C, Kraft K J Urol. 2017; 198(6):1410-1417.

PMID: 28434984 PMC: 5650944. DOI: 10.1016/j.juro.2017.04.079.

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