Clinical study of management of un-descended testes in pediatric age group
Keywords:
Orchiopexy, laparoscopy, UDT, USG, KarnatakaAbstract
Background: The mode of un-descended testes (UDT), treatment remains controversial; however surgery is the treatment of choice. Method: 40 children < 2 to 12 years of age clinically evaluated and subjected USG. The patients with palpable tests planned for orchiopexy. Non palpable abdominal tests were planned for diagnostic laparoscopy. During inguinal exploration if cord structures or testicular remnants were found they are removed. Results: 8 (20%0 were < 2 years, 12 (30%) 2-4 years, 12 (30%) 5-9 years, 8 (20%) 10-12 years of age. The levels of UDT was 14 (35%) canalicular, 16 (40%) external ring, 5 (12.5%) internal ring, 5 (12.5%) abdominal. Conclusion: Orchiopexy is the ideal treatment for UDT and laparoscopic treatment is for abdominal testes, but boys with retractile and acquired testes usually don’t need medical or surgical treatment but require close follow up until puberty.
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