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Selective use of laparoscopy in nonpalpable undescended testes

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...

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Autores principales: Jamalalail, Yasser Abdulrahman, Guerra, Luis A., Leonard, Michael P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4719519/
https://www.ncbi.nlm.nih.gov/pubmed/26834408
http://dx.doi.org/10.4103/0974-7796.171498
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author Jamalalail, Yasser Abdulrahman
Guerra, Luis A.
Leonard, Michael P.
author_facet Jamalalail, Yasser Abdulrahman
Guerra, Luis A.
Leonard, Michael P.
author_sort Jamalalail, Yasser Abdulrahman
collection PubMed
description 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.
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spelling pubmed-47195192016-02-01 Selective use of laparoscopy in nonpalpable undescended testes Jamalalail, Yasser Abdulrahman Guerra, Luis A. Leonard, Michael P. Urol Ann Original Article 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. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4719519/ /pubmed/26834408 http://dx.doi.org/10.4103/0974-7796.171498 Text en Copyright: © Urology Annals http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Jamalalail, Yasser Abdulrahman
Guerra, Luis A.
Leonard, Michael P.
Selective use of laparoscopy in nonpalpable undescended testes
title Selective use of laparoscopy in nonpalpable undescended testes
title_full Selective use of laparoscopy in nonpalpable undescended testes
title_fullStr Selective use of laparoscopy in nonpalpable undescended testes
title_full_unstemmed Selective use of laparoscopy in nonpalpable undescended testes
title_short Selective use of laparoscopy in nonpalpable undescended testes
title_sort selective use of laparoscopy in nonpalpable undescended testes
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4719519/
https://www.ncbi.nlm.nih.gov/pubmed/26834408
http://dx.doi.org/10.4103/0974-7796.171498
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