A single centre experience in the management of undescended testes

Dr Khuraijam Gojen Singh,Dr Irom Keshorjit Singh,Dr Sunilkumar Singh Salam,Dr Laitonjam Chinglensana,Dr Nongmaithem Mackson Singh,Dr Ramesh Singh L

doi:10.17511/ijpr.2020.i01.02

Dr Khuraijam Gojen Singh, Dr Irom Keshorjit Singh + Show 4 more

Open Access

https://doi.org/10.17511/ijpr.2020.i01.02

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Abstract

Introduction: Undescended testes (UDT) is one of the most common congenital anomalies of the urogenital system. In spite of its common occurrence, lots of variations are still reported regarding the time of surgery, mode of investigation and surgery. The present study tried to report the single centre experience of management of UDT. Materials and Methods: The data of patients with UDT including time of presentation, time of surgery, position of testes, investigations, associated urogenital anomalies, complications were collected over a period of 9 years and 6 months and analysed. Results: A total of 118 children were recorded of which the testes of 6 infants became descended before the age of 6 months. Out of the remaining, 112 children, 24 children had bilateral UDT, 24 children had nonpalpable testes (NPT). Ultrasound could locate 19 NPT pre-operatively. Maximum children were operated between 6 months to 1 year in 43 children (38.39 %). Laparoscopy was done for intra-abdominal testes and NPT whose locations could not be located by US and the rest by open inguinal exploration. Four children had pre-operative complications with obstructed inguinal hernias (2 cases) and testicular torsion (2 cases). Conclusion: Majority of the children were being operated before the age of 1 year and US is a good non-invasive to effectively locate the NPT.

Highlights

Undescended testes (UDT) is one of the most common congenital anomalies of the urogenital system
UDT commonly refers to a testis which is present in an extra-scrotal position, but it may lead to identification of an absent testis
The prevalence of the undescended testes (UDT) may be as high as 30% of the preterm and 3% of the term babies [2,3,4] In our series, bilateral UDT was 21.43% of the children which is similar to reported literature of 10–20% of cases [23] and left side constituted 30.36% and right side were in 48%

Summary

Introduction

Undescended testes (UDT) is one of the most common congenital anomalies of the urogenital system. Materials and Methods: The data of patients with UDT including time of presentation, time of surgery, position of testes, investigations, associated urogenital anomalies, complications were collected over a period of 9 years and 6 months and analysed. Conclusion: Majority of the children were being operated before the age of 1 year and US is a good non-invasive to effectively locate the NPT. The main reasons for warranting treatment of UDT include increased risk of impairment of fertility potential, testicular malignancy, Manuscript received: 28th December 2019 Reviewed: 8th January 2020 Author Corrected: 14th January 2020 Accepted for Publication: 17th January 2020 other complications like torsion of the testis and incarceration of hernias. In spite of the published surgical and treatment guidelines, major chunk of these children is being managed beyond the ideal treatment window [9]

Results

Discussion

Conclusion