Urological assessment results of cases of an undescended testis, pre-diagnosed by pediatricians

Objective: In this clinical study, the results of cases, with an undescended testis pre-diagnosed of which initial examinations and inguinal-scrotal ultrasonography examinations were made by pediatricians, was analyzed.

Materials and Methods: From 2007 to 2011, 220 patients of unilateral undescended testis, aged 0-14 years, were evaluated by urologist. Examined and inguinal-scrotal ultrasonographies were made and refered to urologist by different pediatricians, with the pre-diagnose of undescended testis or retractile testis, the cases were re-examined. Four groups were generated and compared to the early diagnoses, 1: Normal, 2: Retractile, 3: Undescended, 4: Nonpalpable testis.

Results: After physical examination, 34 of cases (15%) were determined as Group 1, 55 of cases (25%) as Group 2, 117 of cases (53%) as Group 3, 14 of cases (17%) as Group 4. In cases with the undescended testis and nonpalpable testis, there was correlation between pediatricians and urology specialists, but there was not correlation in cases of retractile and normal testis. After ultrasonography the findings were; in Group 1; 34 cases of which 18 had inguinal, 11 had suprascrotal, 5 had normal, in Group 2; 55 cases of which 50 had inguinal, 5 had retractile, in Group 3: all the cases had inguinal, in Group 4: 12 cases did not have visible testes, whereas 2 had visible testes. Group 1 and 2 were considered as normal or retractile testis and weren’t treated by any additional treatment.

Conclusion: Pediatricians make ultrasonographical examinations frequently, and a carefull physical examination is sufficient in diagnose and treatment of children with nonpalpable testis.