Diagnostic value of high resolution ultrasound in localisation of the undescended testis in children
| Autor: | Adekunle Adeyomoye, Christopher O Bode, Opeoluwa A Adesanya, Adesoji O Ademuyiwa |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty lcsh:Surgery Diagnosis Differential Predictive Value of Tests Cryptorchidism Testis medicine Humans pre-operative assessment Prospective Studies Child Prospective cohort study Children Gynecology Children pre-operative assessment ultrasonography undescended testes business.industry undescended testes Ultrasound lcsh:RJ1-570 Infant Reproducibility of Results High resolution ultrasound Mean age lcsh:Pediatrics ultrasonography lcsh:RD1-811 Image Enhancement Predictive value Child Preschool Predictive value of tests Preoperative Period Pediatrics Perinatology and Child Health Surgery Radiology University teaching Ultrasonography business |
| Zdroj: | African Journal of Paediatric Surgery, Vol 10, Iss 2, Pp 127-130 (2013) African Journal of Paediatric Surgery; Vol 10, No 2 (2013); 127-130 |
| ISSN: | 0974-5998 0189-6725 |
| Popis: | Background: The use of ultrasonography in the pre-operative localisation of undescended testes has become controversial due to fears about its accuracy. This study was designed to ascertain the accuracy, sensitivity, specifi city, positive predictive value (PPV) and negative predictive value (NPV) of ultrasonography in the localisation of the undescended testes in children.Patients and Methods: A prospective evaluation of all boys undergoing operation for undescended testes at the Lagos University Teaching Hospital, Idi-Araba, Lagos, over a 12 month period was performed. Thepre-operative clinical and ultrasound fi ndings were compared with the fi ndings on surgical exploration.Results: Forty boys with 52 undescended testes were studied. The mean age of the boys at the time of surgery was 4.0 ± 0 years (range 1-11 years). Fortysix (88.5%) testes were localised pre-operatively by ultrasound- 20 of 22 (90.9%) palpable testes and 26 of 30 (86.7%) non-palpable testes. Intra-operatively, 49 (94.2%) of the undescended testes were found while 3 (5.8%) were absent/vanishing testes. Ultrasoundevaluation had an accuracy of 86.5%, sensitivity of 89.8%, and specifi city of 33.3%, PPV of 95.7% and a NPV of 16.7%.Conclusion: Ultrasound assessment is beneficial in pre-operative evaluation of children with undescended testes. Key words: Children, pre-operative assessment, ultrasonography, undescended testes |
| Databáze: | OpenAIRE |
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