The Undescended Testis Management: Microsurgery and Laparoscopy

Aims and Objectives: To know the most common surgical problems in pediatric patients presented with inguino-scrotal swellings and management done routinely. Methodology: This study was carried out in the department of general surgery, Sharadaben hospital and pediatric surgery of VS hospital, Ahmedabad. The cases were studied for a period of about one year (January, 2017 to Dec, 2017) and all children below 12 years of age, presenting to us with inguinoscrotal swellings were included in this study. The information was analysed in terms of age, diagnosis, procedure carried out and outcome. Results: Amongst the 150 children under the age of 12 years, 143 patients were males and 7 were females. Among these 150, 52 cases were of hydrocoele, 70 cases of hernia (of which 63 were males and 7 were females), 25 cases of undescended testis and 3 cases of epididymo orchitis were documented. All cases underwent simple herniotomy for hernia and hydrocoele, orchidopexy for undescended testis. The length of hospital stay ranged from 2-4 days with mean of 2.46 days. 11 children in the study were documented to have short term complications, all of which were recognised in the hospital and managed with good results. Conclusion: Hernia and Hydrocoele in children are often congenital and diagnosed clinically (history and examination). Indirect inguinal hernia are more common than other groin hernias. Open herniotomy is the operation of choice for inguinal hernia in children.

Download Full-text

Faculty Opinions recommendation of Long-term outcome of scrotal incision orchiopexy for undescended testis.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.1098370.554420 ◽

2007 ◽

Author(s):

Andrew Kirsch

Keyword(s):

Undescended Testis ◽

Term Outcome ◽

Long Term Outcome

Download Full-text

Faculty Opinions recommendation of Educational survey of regional general practitioner's management of paediatric patients with undescended testis.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.735355250.793558021 ◽

2019 ◽

Author(s):

Hiep Nguyen

Keyword(s):

Undescended Testis ◽

Paediatric Patients

Download Full-text

Undescended Testis

BMJ ◽

10.1136/bmj.4.5787.627-a ◽

1971 ◽

Vol 4 (5787) ◽

pp. 627-627

Author(s):

V. A. J. Swain

Keyword(s):

Undescended Testis

Download Full-text

Ruptured intra-abdominal testicular seminoma with hemorrhage shock, after inadequate surgical exploration for undescended testis: a case report

Surgical Case Reports ◽

10.1186/s40792-021-01143-5 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Hirotake Gonda ◽

Takuya Saito ◽

Takaaki Osawa ◽

Shintaro Kurahashi ◽

Tatsuki Matsumura ◽

...

Keyword(s):

Undescended Testis ◽

Pelvic Mass ◽

Major Axis ◽

Retroperitoneal Lymph Node Dissection ◽

Emergency Laparotomy ◽

Testicular Seminoma ◽

Increased Risk ◽

Pathological Evaluation ◽

Risk Of Malignancy ◽

Enhanced Computed Tomography

Abstract Background Undescended testes are associated with an increased risk of malignancy and infertility, and surgical treatment in childhood is recommended. Case presentation A 35-year-old man presented to the emergency department with abdominal pain and vomiting. Despite a history of surgery for a left undescended testis in infancy, his left-sided scrotum appeared underdeveloped. Contrast-enhanced computed tomography showed a pelvic mass, involving a major axis of approximately 15 cm, with high-density ascites suggestive of hemorrhage. A ruptured gastrointestinal stromal tumor was suspected. As he was in hemorrhagic shock, an emergency laparotomy was indicated. The active bleeding mass was controlled through complete resection. A pathological evaluation of the mass revealed a seminoma arising from an undescended testis. His post-operative course was uneventful, and he was discharged on post-operative day 6. Recurrence on the retroperitoneal lymph nodes was detected 1 year postoperatively, and a retroperitoneal lymph node dissection was performed after chemotherapy. He remains well without any apparent signs of recurrence. Conclusions Paying close attention to an empty scrotum is advisable, even postoperatively, for undescended testis because of possible subsequent potential malignancy presenting with hemorrhage, as our patient demonstrated.

Download Full-text