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• W2005367688 abstract "Surgery| December 01 2004 Outcome Analysis for Retractile Testes AAP Grand Rounds (2004) 12 (6): 72–73. https://doi.org/10.1542/gr.12-6-72 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Twitter LinkedIn Tools Icon Tools Get Permissions Cite Icon Cite Search Site Citation Outcome Analysis for Retractile Testes. AAP Grand Rounds December 2004; 12 (6): 72–73. https://doi.org/10.1542/gr.12-6-72 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search nav search search input Search input auto suggest search filter All PublicationsAll JournalsAAP Grand RoundsPediatricsHospital PediatricsPediatrics In ReviewNeoReviewsAAP NewsAll AAP Sites Search Advanced Search Topics: retractile testis Source: La Scala GC, Ein S. Retractile testes: an outcome analysis on 150 patients. J Pediatr Surg. 2004;39:1014–1017. This report from the University of Geneva, Switzerland, and Toronto’s Hospital for Sick Children details the outcome of a series of 150 consecutive patients with retractile testes referred by primary care physicians to a single surgeon between April 1982 and April 1999. Data was collected prospectively regarding testicle position, size (normal, smaller than the opposite testis, or atrophic), presence of accompanying hernia-hydrocele, and family history of retractile testis. In addition, the surgeon noted the degree of spermatic cord tension or the amount of tug necessary to bring the testis into the mid-scrotum: normal or no tension, mild or minimal tension, moderate tension which may cause some discomfort, or true undescended testis. Orchidopexy was performed if a retractile testis ascended and became cryptorchid (34 patients) or if testicular size decreased during the follow-up period (3 patients). Follow-up duration averaged 3.8 ± 3.0 years. At the end of follow-up, the author recorded testicle size and one of the following outcomes: 1) descended to normal position; 2) testis brought to dependent position without retraction; 3) mild residual cord tension; 4) moderate residual cord tension; or 5) patient required orchidopexy for retractile testis that evolved to true undescended type. Median age at presentation was 4.7 years. No information on ethnicity was reported. Neither family history of retractile testis (positive in 8 [5.3%]), age at presentation, nor duration of follow-up was associated with a need for orchidopexy. Inguinal hernias occurred in 14.2% of right and 17.4% of left retractile testes. Orchidopexy was required more frequently in patients who had an inguinal hernia than in those who did not (68.8% vs 9.2%, P<.001). The authors conclude that the majority of patients presenting with retractile testis have spontaneous evolution to a dependent position after age 14 with no surgical intervention. However, they note that no conclusions could be drawn regarding final adult testicle size or function. Between 4.5 and 13 per 1000 school-age males have retractile testes, and many are referred to a pediatric surgeon mislabeled as having an undescended testicle.1–,3 A retractile testis is usually defined as a testis that has completed the descent process but remains in the dependent scrotal position because of a hyperactive cremasteric reflex. The testis can be brought into the scrotum, but when traction is released, the testis will slide back into its accustomed position (usually adjacent to the external ring or just in the inguinal canal). In making the distinction between an undescended testis and a retractile one, there are several useful historical features. Parents can be asked whether the testis appears when the child has been in a warm bath for several minutes, and whether it quickly recedes after the child is removed from the bath. Other questions center around whether either parent noted symmetry of the testes or scrotal symmetry when changing diapers early in infancy. An older child may... You do not currently have access to this content." @default.
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• W2005367688 date "2004-12-01" @default.
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• W2005367688 title "Outcome Analysis for Retractile Testes" @default.
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