Open AccessProportion of Testicular Absence and Position of Testis in Unilateral Nonpalpable Undescended Testis in a Tertiary Teaching Hospital in South India
Author(s) -
C Aravind,
Sam Varkey,
Shinaz Sadiq
Publication year - 2022
Publication title -
galore international journal of health science and research
Language(s) - English
Resource type - Journals
ISSN - 2456-9321
DOI - 10.52403/gijhsr.20220101
Subject(s) - scrotum , medicine , incidence (geometry) , muscle hypertrophy , testicle , inguinal canal , surgery , anatomy , inguinal hernia , hernia , physics , optics
Undescended testis is a common surgical problem in children which needs to be treated by one and a half year of age. When testis is non palpable, it could be either absent, and when present intra-abdominal or inguinal.Methodology: A hospital based retrospective study was conducted in department of paediatric surgery, Thiruvananthapuram. Study population consisted of children treated with nonpalpable undescended testis from January 2016 to June 2021.Results: Mean age of intervention was 43.7 months (range 7 to 153 months). Incidence of absent testis was 30.97%. in 156 children who had ipsilateral undescended testis, 92 had intra-abdominal testis and 43 had inguinal testis. Presence of nubbin of testis in ipsilateral scrotum and contralateral testicular hypertrophy were suggestive of absent ipsilateral testis (p <0.001). Testis is absent in 11.3% only when ipsilateral hemi scrotum is under developed.Conclusion: Proportion of absent testis is 30.97% in children with unilateral undescended testis. Presence of nubbin of testis in ipsilateral scrotum and contralateral testicular hypertrophy are predictive of ipsilateral testicular absence.Keywords: Undescended testis, atrophic testis, Contralateral hypertrophy.