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SAS Journal of Surgery | Volume-9 | Issue-06
Evaluation of Testicular Growth Percentage Ratio after Orchidopexy in Different Age Group in Unilateral Palpable Undescended Testis
Md. Anamul Hoque, K M Didarul Islam, Md. Ruhul Amin, A K M Zahid Hossain, Md. Tosaddeque Hossain Siddiqui, Md. Rezaul Karim Mojumder, Mohammed Akramul Alam Simon, Mahabub Hossain, Tahreema Hossain
Published: June 14, 2023 | 127 211
DOI: 10.36347/sasjs.2023.v09i06.014
Pages: 553-561
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Abstract
Background: Undescended testis (UDT) means absent of testis in the scrotum but present its normal path of descend. In recent decades, the recommended age for orchiopexy for undescended testis has decreased, in the expectation that this might improve subsequent fertility. Currently recommended age for Orchidopexy between 6-12 and 6-18 months. Whatever the underlying cause UDT deserves treatment early in life to prevent loss of spermatogenic potential and to allow early detection of malignancy. The accurate measurement of testicular size and determination of testicular volume has a great importance in assessing the testicular functional status in children. Ultrasonograpically measured testicular volume is standard and more accurate than obtained by non-radiological clinical method. Objective: To evaluate the testicular growth after orchidopexy in different age group in unilateral palpable undescended testis. Materials and Methods: This Quasi Experimental study was carried in the Department of Pediatric Surgery, BSMMU, Dhaka, Bangladesh without interrupting standard care practiced in the department during October 2020 to September 2022.A total of 30 pediatric patients with unilateral palpable undescended testis. Proper clinical history, physical examinations, and initial investigation reports were recorded in a standard data sheet. All the patients were categorized according to age at operation as ≤2years and >2years. Unilateral palpable undescended testes from 6 months to 12 years were enrolled in this study. Ultrasonography of both inguino scrotal region were performed for every sample to see the length, width and location of testis. Ultrasonography was done before and after orchiopexy by single experienced radiologist. Statistical analyses of the results were obtained by using window based computer software devised with Statistical Packages for Social Sciences (SPSS-22). Results: A total of 30 patients with unilateral palpable undescended testis underwent regular ..