The Diagnosis and Treatment of Impalpable Testes at King Salman Armed Forces Hospital, Tabuk, Saudi Arabia.
| Autor: | Mohammad Alnoaiji MS; Paediatric Surgery, King Salman Armed Forces Hospitals, Tabuk, SAU., Ghmaird A; Pediatrics, University of Tabuk, Tabuk, SAU., Alshahrani EH; Pediatric Surgery, University of Bisha, Bisha, SAU., Qaisy FA; Pediatric Surgery, University of Tabuk, Tabuk, SAU., Alotaibi RS; Pediatric Surgery, University of Tabuk, Tabuk, SAU., Albalawi BI; Pediatric Surgery, University of Tabuk, Tabuk, SAU., Asiri AM; Pediatric Surgery, University of Tabuk, Tabuk, SAU., Alshehri YA; Pediatric Surgery, King Khalid University, Abha, SAU., Alenzi RA; Pediatric Surgery, University of Tabuk, Tabuk, SAU., Alatawi ME; Pediatric Surgery, University of Tabuk, Tabuk, SAU., Alzahrani SA; Pediatric Surgery, University of Tabuk, Tabuk, SAU., Alrashidi TN; Pediatric Surgery, University of Tabuk, Tabuk, SAU. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2020 Jan 15; Vol. 12 (1), pp. e6659. Date of Electronic Publication: 2020 Jan 15. |
| DOI: | 10.7759/cureus.6659 |
| Abstrakt: | Background Impalpable testes may be caused by atrophy, congenital dysgenesis/agenesis, or the presence of testes at unusual sites. Early intervention can improve patient outcomes. The recommended age for surgery ranges from 6 to 18 months. Objective To investigate the diagnosis, treatment, and outcomes of impalpable testes and sensitivity and specificity of ultrasonography to diagnose impalpable testes at King Salman Armed Forces Hospital (KSAFH), Tabuk, Saudi Arabia. Methods We conducted a retrospective study to review cases of impalpable testes admitted to KSAFH, Tabuk, Saudi Arabia from January 1, 2015 to May 20, 2019. Fifty patients diagnosed with impalpable testes were treated surgically in our center during the period. Patients' data were tabulated, and statistical analysis was performed using Statistical Package for Social Sciences software (SPSS, version 22; IBM, Armonk, NY). Results We included 50 patients in our study, with a total number of 66 impalpable testes. The median age at diagnosis was 7 months, while the median age at surgery was 17.5 months. The median interval between diagnosis and surgery was 8.5 months, with 44% of cases undergoing surgery after the age of 1.5 years. Two-thirds of the cases were unilateral. The most common site was intracanalicular (57.6%) followed by intra-abdominal (34.8%). The testicular size was average in 36.4%, small in 42.4%, and atrophic in 21.2% of the evaluated cases. Conclusions The overall sensitivity of ultrasonography was 56.1% (it correctly detected the location of 37 out of 66 impalpable testes). The sensitivity of ultrasonography for the detection of intra-abdominal testes was 43.5%, while that of intracanalicular testes was 71.1%. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2020, Mohammad Alnoaiji et al.) |
| Databáze: | MEDLINE |
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