Presentation and options of management of undescended testis in our practice

Abstract EN

Undescended testis is a common congenital anomaly in pediatric population, associated with many complications if not managed properly.

This study for clinical presentation, available investigations and the different modalities for treatment of undescended testis in our practice.

One hundred twenty patients diagnosed with undescended testis in Hilla Teaching General Hospital and Private Hospitals during the period of June 2007 to June 2014.

Age of patients included is from 6 months to 40 years age, intersex and ectopic testis were excluded.

Ultrasonographydone for all patients, CT scan and MRI or diagnostic laparoscopy were added to investigate sonography undetectabletestis in groin.

Management includes hormonal therapy for selected patients and surgical intervention for the others including those with failure of hormonal therapy.

Diagnostic laparoscopy done for two cases.

Presentation age were 42% at 2-5 years age and 33% were below 2 years.

Best hormonal response were in bilateral than unilateral cases, 25% for bilateral versus 10 % for unilateral cases.

One stage open orchiopexy was the common surgical procedure used (85.83 %).

The best results for surgical orchiopexy can be obtained when performed at age below two years.

Hormonal therapy was benefit in some patients.

One stage orchiopexy is a safe procedure in most of cases in our practice.

We advise to start laparoscopic approach in diagnosis and treatment of intra-abdominaltestis.