Volume : III, Issue : II, February - 2013

Comprehensive Study of Management of Undescended Testis

Dr. Nishant, Dr. Reina, Dr. Pradeep

Abstract :

OBJECTIVE: Comprehensive Study of Management of Undescended Testis, 50 cases comprising 63 testicular units of empty scrotum wherein retractile testes were ruled out, were studied during Feb 2009 to Jun 2011. Laparoscopy was used as the prime modality of investigation in impalpable undescended testes. Post–op follow ups were conducted at 1 week, 3, 6months and 1 year. A prospective study of 50 cases of empty scrotum with maximum numbers of patients above 10 years and between 1 to 5 years age was conducted. 37 cases with unilateral empty scrotum and 13 cases with bilateral empty scrotum. 29 cases had clinically detectable hernia, 1 case as a swelling elsewhere in the perineum, 1 had unilateral empty scrotum with severe excruciating pain intra–operatively diagnosed as inguinal undescended testes with intravaginal torsion and 4 cases with malignancies. Empty scrotum is the most common presenting complaint. Unilateral, palpable cryptorchidism is more common than bilateral and/or non palpable cryptorchidism. Laparoscopy is the prime modality of investigation in all cases of impalpable undescended testes. Earlier the surgery, better are the chances of testicular recovery. 6 months is the ideal age for doing orchiopexy to prevent sterility and malignancy. Vasoepididymal anomalies are common with incompletely descended testes. Malignancy mostly occurs in adults and seminoma is its most common histology. Optimal management of cryptorchidism requires precise operative strategies.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. Nishant,Dr. Reina,Dr. Pradeep Comprehensive Study of Management of Undescended Testis Indian Journal of Applied Research, Vol.III, Issue.II February 2013

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