Original Research Article
Year: 2022 | Month: January-March | Volume: 7 | Issue: 1 | Pages: 1-6
DOI: https://doi.org/10.52403/gijhsr.20220101
Proportion of Testicular Absence and Position of Testis in Unilateral Nonpalpable Undescended Testis in a Tertiary Teaching Hospital in South India
Aravind C S1, Sam Varkey1, Shinaz Sadiq2, Binu M K2, Prathibha Sukumar3
1Associate Professor, Department of Paediatric Surgery, Government Medical College Trivandrum, Kerala, India.
2Assistant Professor, Department of Paediatric Surgery, Government Medical College Trivandrum, Kerala, India
3Senior Resident, Department of Paediatric Surgery, Government Medical College Trivandrum, Kerala, India
Corresponding Author: Aravind C S
ABSTRACT
Introduction: 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.