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New Indian Journal of Surgery

Volume  11, Issue 4, October- December 2020, Pages 475-483
 

Original Article

Study of Clinically Nonpalpable Testis

Bhargav Dharmendrabhai Trivedi1, Akshat Keshubhai Vadaliya2

1 Senior Resident, 2 Second Year Resident, Department of General Surgery, Shri M P Shah Government Medical College, Jamnagar, Gujarat 361008, India.

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.11420.5

Abstract

Undescended testis or cryptorchidism is a common genital problem in boys. Non palpable testis represents 25% of all undescended testis. Non palpable testis presents a unique diagnostic and therapeutic problem. Non palpable testis should be treated to enhance future chances of fertility and to place the testis at a site where it can be easily palpated because such a testis has an increased susceptibility to malignant degeneration. Aims: • Toestablishdiagnosticefficacyandaccuracy in identifying clinically non-palpable testis. • To establish therapeutic role of Open and laparoscopic management of non-palpable testis. Methods and Material: Between 2015 and 2019, 25 boys with 28 clinically non-palpable testis, aged 16 months to 65 years, underwent operative intervention in a single surgical unit at our institute. Out of the 25 patients, 22 had unilateral (11 leftsided, 11 right-sided) and three had bilateral non palpable testis. The testis was considered non palpable after thorough clinical examination, ultrasonography and examination under anaesthesia failed to detect it. Keywords: Nonpalpable Testis


Keywords : Nonpalpable Testis.
Corresponding Author : Akshat Keshubhai Vadaliya