Mohamed Abdelmalak, Ahmed Koraitim, Baher Looka and Saber Waheeb*
Pediatric Surgery Department, Alexandria University, Egypt
*Corresponding Author: Saber Waheeb, Pediatric Surgery Department, Alexandria University, Egypt.
Received: November 21, 2019; Published: December 06, 2019
Background: An undescended testis is one of the most frequently occurring genito-urinary anomalies in the field of pediatric surgery. Although laparoscopy is considered the most accurate tool in diagnosis of impalpable undescended testis, we outline in this report the importance of p the clinical examination and how it affect he management of the impalpable undescended testis.
Objective: The study objectives were to assess the validity as well as diagnostic power of the selected clinical criteria in diagnosis of impalpable undescended testis.
Methods: A cross-sectional study was carried for all patients were conducted to Alexandria university children hospital A clinical sheet was used when each patient enrolled in the study followed by surgical intervention either by open or laparoscopy to assess the validity of diagnosis based on selected clinical criteria applied in examination of each patient.
Results: According to our selected clinical criteria, we classified impalpable undescended testis into three groups pure intra-abdominal testis, peeping testis and atrophic testis. We had 48 patients (27%) with atrophic testis who showed positive finding by selected clinical criteria which were Assessment of Contra lateral testis. Presence of Ipsilateral intrascrotal nubbin Development of Ipsilateral half of scrotum., Feeling of Ipsilateral rolling of spermatic cord against pubic bone., the selected clinical criteria showed 91% sensitivity and 95.6% specificity in diagnosis of atrophic testis.
Conclusion: Careful and meticulous clinical examination is considered the corner stone in diagnosis and management of impalpable undescended testes especially atrophic one.
Keywords: Impalpable Undescended Testis; Clinical Criteria; Atrophic Testis; Developing Countries
Citation: Saber Waheeb., et al. "Clinical Diagnosis for Atrophic Testis … IS it Possible?".Acta Scientific Paediatrics 4.1 (2020): 06-10.
Copyright: © 2020 Saber Waheeb., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.