Sonological follow up of children with undescended testis post orchidopexy with comparison to age match controls

Authors

  • Kumar Ashish Assistant Professor, Department of General Surgery, Narayan Medical College & Hospital, Sasaram, Bihar, India
  • Alok Kumar Professor, Department of General Surgery, Narayan Medical College & Hospital, Sasaram, Bihar, India
  • Rahul Singh Senior Resident, Department of General Surgery, Narayan Medical College & Hospital, Sasaram, Bihar, India
  • Anand Prakash Assistant Professor, Department of General Surgery, Narayan Medical College & Hospital, Sasaram, Bihar, India
  • Dipu Singh Assistant Professor, Department of Radiodiagnosis, Narayan Medical College & hospital, Sasaram, Bihar, India
  • Prashant Kumar Assistant Professor, Department of Radiodiagnosis, Narayan Medical College & hospital, Sasaram, Bihar, India

Keywords:

Children, Orchidopexy, Undescended testis

Abstract

Aims and objectives: Aim of our study was to study the pattern of change in testicular volume and echogenicity of testis post orchidopexy for unilateral Undescended testis (UDT). Material and method: A prospective study was done on twenty children excluding neonates with primary unilateral UDT. It was a prospective study over a duration of 18 months in which a total of twenty patients upto 12 years of age awaiting orchidopexy for unilateral UDT were included. Also 60 children upto 12 years of age with non urogenital conditions and with no history of condition/treatment likely to affect testicular volume (TV) were taken as controls. All subjects and controls underwent sonographic assessment of the TV of both their testes and average testicular volume (ATV), where ATV is equal to right TV plus left TV divided by 2. The study subjects undergoing elective orchidopexy were followed up sonologically for TV, echogenicity and Testicular microlithiasis (TM) at 3 months and 1 year of follow up. Result and conclusion: Preoperatively TV was generally found to be significantly lower than controls while compensatory hypertrophy of contralateral normal descended testis (cNDT) was noted in 25 percent of the study subjects. The echogenicity and TM showed improvement over follow up period in most patients and there was significant improvement in echogenicity in palpable group. Also it was surprising to find that Mean of average testicular volume (MATV) in older children at 1 year follow up exceeded MATV of controls. Also TV of cNDT are generally known to be higher but are known to gradually come down with orchidopexy of the affected side. Since our results are not fully in agreement with the conventionally upheld view on the findings in the existing literature, we deduce that testicular volume in isolation may not be considered as an index for future fertility.

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Published

2021-08-30

How to Cite

Kumar Ashish, Alok Kumar, Rahul Singh, Anand Prakash, Dipu Singh, & Prashant Kumar. (2021). Sonological follow up of children with undescended testis post orchidopexy with comparison to age match controls. International Journal of Health and Clinical Research, 4(15), 16–19. Retrieved from https://www.ijhcr.com/index.php/ijhcr/article/view/2380