The Limited Role of Imaging Techniques in Managing Children with Undescended Testes

Hrebinko, Ronald L.; Bellinger, Mark F.

doi:10.1016/s0022-5347(17)35510-6

Cited by 116 publications

(53 citation statements)

References 20 publications

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“…In centers where high-resolution ultrasound scan, computerized axial tomography scan and magnetic resonance imaging are available, such studies should be performed before surgery. 25,26 In terms of management of the torsed abdominal testis, several authors recommend orchiectomy because most such torsed testes have lost their viability. 27 In addition, there is an increased risk of malignancy and formation of antibodies against the contralateral normal testis.…”

Section: Discussionmentioning

confidence: 99%

Torsed intraabdominal testis mimicking acute appendicitis in a 60 year old male

Khan

Hazirah

Dar³

et al. 2017

Int Surg J

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Section: Discussionmentioning

confidence: 99%

Torsed intraabdominal testis mimicking acute appendicitis in a 60 year old male

Khan

Hazirah

Dar³

et al. 2017

Int Surg J

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“…In some centers the authors reported that US, and MRI did not make any additional contribution to physical examination, and they did not use them routinely. [3,5] Cain et al [6] reported diagnostic sensitivities of US for inguinal, and intraabdominal nonpalpable testes as 33%, and 9%, respectively. Güvenç et al [7] reported that when they used US, and laparoscopy in combination, they could evaluate testicular location, and morphology much better, and they also indicated they could plan their treatment more accurately.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic management and its outcomes in cases with nonpalpable testis

Erdoğan¹,

Bahadır²,

Taşkınlar³

et al. 2017

Turkish Journal of Urology

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Objective: Diagnostic laparoscopy is the gold standard in the algorithm of nonpalpable testis. Testicular tissue is examined and treatment is planned accordingly. In this study we reviewed the place of diagnostic laparoscopy, and evaluated the results and effectiveness of laparoscopy in the diagnosis and management of nonpalpable testis. Material and methods:Children who had diagnostic laparoscopy for nonpalpable testes were included in the study. Physical examination results, ultrasonography (USG) reports, age at surgery, laparoscopic and inguinal exploration findings, surgical procedures, orchiopexy results, early and late-term complications were evaluated. Follow-up visits were performed at 3-month intervals for the first, at 6-month intervals for the 2. year, then at yearly intervals. Testicular size and location was evaluated by during control examination.Results: Overall 58 boys, and 68 testes (26 left: 44.8%; 22 right: 37.9%, and 10 bilateral: 17.2%) were included in the study. Mean age at surgery was 5.5 years (10 months-17 years). Diagnostic value of USG was 15.7%. Diagnostic laparoscopy findings were as follows: Group 1: blind-ended vessels, n=7 (10.2%); Group 2: intraabdominal testes, n=8 (11.7%); Group 3: vas and vessels entering internal ring, n=53 (77.9%). Overall 43 testes underwent orchiopexy, which were normal (n=8) or hypoplastic (n=35). Mean follow-up period was 19 months (1-12 years), and on an average 7 visits were performed (5-14). On follow-up, 5 testes were normal-sized and located in the scrotum, while 4 testes were atrophic and underwent orchiectomy. Two testes were found in the inguinal canal and redo orchiopexy was performed. Control USG revealed reduced testicular blood supply and volume. Conclusion:Laparoscopic surgery is safe and effective in the management of nonpalpable testes. In the majority, routine use of diagnostic laparoscopy in the algorithma does not confer any additional contributions in many patients.

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“…Kanal içi yerleşimli testislerin gösterilmesinde yararlı olmakla .birlikte, asıl tamsal sorunu olu~turan ele gelmeyen testislerde ancak %50 ile %80 arasında duyarlılık bildirilmektedir (6,10,11). Bu bakımdan iyi bir fizik muayenenin tariıda US' dan daha üstün olduğu vurgulanmaktadır (11,12).…”

Section: Muayeneunclassified

“…Gelişen teknolojiye karşın inmemiş testis tanısındaki güçlükler nedeniyle zaman zaman yakın tarihli çalış malara da rastlarunaktadır (3). İnvaziv olması, küçük yaş gruplarında genel anestezi gerektinnesi, · küçük testiküler damarların kateterizasyon güçlüğü, hastaya iyonizan ışın uygulaması yöntemin olumsuz yanlarıdır (5,11,14). Ba~anlı olarak uygulandığında özgüllüğü oldukça yüksektir, ancak yine de testiküler venlerin içerdiği kapaklar yanlış negatif sonuçlara yol açabilmekte ve duyarlılığı dü:şürmektedir (5,6).…”

Section: Muayeneunclassified

“…Ba~anlı olarak uygulandığında özgüllüğü oldukça yüksektir, ancak yine de testiküler venlerin içerdiği kapaklar yanlış negatif sonuçlara yol açabilmekte ve duyarlılığı dü:şürmektedir (5,6). Yöntemin duyarlılığı %75-80 olarak bildirilmektedir (6,11,13). Testiküler arteriografi venografide anılan teknik güçlükler yanı sıra, testis iskemisi ve testisin total kaybı gibi ağır kompilkasyonlara da yol açabilınektedir (5).…”

Section: Muayeneunclassified

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Diagnosis And Approach To The Nonpalpable Testis

Olguner¹,

Aktuğ²,

Akgür³

1998

Tepecik Dergisi

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SUMMARY Mustafa OLGUNERTanju AKTUG Feza Mi:raç AKGÜR The nonpalpable testis isa diagm:ıstic dilemma for dinidans. Because of the low sensHivity of diagnosHc studies the laparoscopy seems most reliable method in l:he diagnosis of ru:m~ palpable testis.(Key Words: Undescendend testis, Lapa:roscopy, Oı:yptorchidism) ÖZET:Ele gelmeyen testis hastalar ve klinisyenler için tanısal bir problemdir. Problemin çözümü için ba:;:vurulabilecek bir dizi tanı yönteminin düşük duyarlılıkları ve cerrahi eksplorasyon gereksinimini azaltmamalan sonucu, laparoskopi en seçkin tam yöntemi olarak görülmektedir.

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The Limited Role of Imaging Techniques in Managing Children with Undescended Testes

Cited by 116 publications

References 20 publications

Torsed intraabdominal testis mimicking acute appendicitis in a 60 year old male

Torsed intraabdominal testis mimicking acute appendicitis in a 60 year old male

Laparoscopic management and its outcomes in cases with nonpalpable testis

Diagnosis And Approach To The Nonpalpable Testis

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