Undescended Testis: A Study of 50 Cases

Abstract

Fifty consecutive cases of undescended testis treated at a service hospital over a period of3 years from January 1993 to December 1995 were studied. Only 2 patients (4%) were below the age of2 years and 25 (50%) were past the age of 15 years. Two cases presented with seminoma in intraobdominal testis. Ultrasonography was found unreliable in localizing the impalpable testis. Subdartos pouch orchiopexy (Winsburry-White) was the definitive procedure adopted in 21 out of the 25 orchiopexies performed and the results were good. Orchidectomy seems the best option of treatment in post-pubertal patients with unilateral symptomatic maldescent. MJAFII997;

A comprehensive study of 60 cases of undescended testis

“…In this study about 45 cases (74%) were brought to the OPD after being noticed by parents themselves highlighting the growing awareness. very much similar result was derived in a study conducted by KJ Philipose, Maudar and Samir gupta [8] . Lydia ferguson et al found that there is an increased risk of testicular malignancy by 7 fold in cryptorchids.in our study 1 case was found to harbour seminoma.as far as testicular torsion is concerned Johnson et al reported an incidence of 21% in Cryptorchids.…”

“…these results were in concurrence with a study conducted by Seddon et al [5] where the mean age was found to be 7.5 years at the time of diagnosis. In contrast, in a study conducted by KJ philipose et al [6] majority of patients were after 15 years of age. Lowe et al [7] found a mean age of 3.9 years in patients with undescended testis in a paediatric surgical centre.…”