Title: Efficiency of ultrasonography in detecting nonpalpable testes in children Bangladesh
Authors: Dr Md. Mahabur Rahman Sarker, Dr Md. Abdul Aziz, Dr A. R. Khan, Dr Mohammad Golam Mostafa
DOI: https://dx.doi.org/10.18535/jmscr/v8i2.85
Abstract
Objectives: In this study our main goal is to evaluate the efficiency of ultrasonography in detecting nonpalpable testes in children Bangladesh.
Methods: This cross-sectional observational study was done in the department Pediatric Surgery, Dhaka Shisu (children) Hospital (DSH), Dhaka, from March 2014 to September 2015.The study included 30 children with nonpalpable testis either unilateral or bilateral. In each case, information about the patient was collected in a prescribed questionnaire after getting written consent from the parents or legal guardians in a preformed consent form.
Results: During the study left sided impalpable testis was predominant as 36 %, then the right side 17% and bilateral problem around 47%.one intra abdominal testis also found atrophic rendered as absent and excised. ultrasonogram could visualize 21 (48%) testes, of them inguinal canal 19 (43.5%), and abdominal 02(4.5%).
Conclusion: from our study we can conclude that, ultrasonogram can be used in terms of diagnosis of non-palpable undescended testis in children. Moreover, therapy can be outlined and offered at the same time during surgical procedure.
Keywords: Intra abdominal testis, nonpalpable testes, laparoscopy surgery.
References
- Cain M, Garra B, Gibbon MD. 1996, ' Serotal- inguinal ultrasonography: A technique for identifying the non palpable testis without laparoscopy', The Journal of Urology vol. 170, pp.791-794.
- Cisek LJ, Peters CA, Atala A, Bauer SB, Diamond DA, Retik AB.1998, Current findings in diagnostic laparoscopic evaluation of the nonpalpable testis. J Urol. Vol.160:1145–50.
- Colodny AH. 1986, Undescended testes—is surgery necessary? [Editorial]. N Engl J Med. Vol.314:510–1.
- Cortes D, Thorup JM, Lenz K, Beck BL, Nielsen OH. 1995, ‘Laparoscopy in 100 consecutive patients with 128 impalpable testes’, Br J Urol., Vol. 75, pp 281-7.
- Cortesi N, Ferrari P, Zambarda E, Manenti A, Baldini A, Morano FP.1976, Diagnosis of bilateral abdominal cryptorchidism by laparoscopy. Endoscopy. Vol.8:pp33–4.
- Docimo SG.1996, Testicular descent and ascent in the first year of life. Urolog vol.48:pp458–60
- Docimo SG, Peters CA. 2005, ‘Pediatric endourology and laparoscopy’, In Campbell’s Urology, Walsh, PC, Retik, AB, Vaughan, ED, Wein, AJ, Saunders Company, Philadelphia, 8th Ed., pp 2353-2394.