Relevance of herniography for accurate diagnosis of patent processus vaginalis in cryptorchidism
Int. braz. j. urol
;
34(1): 57-62, Jan.-Feb. 2008. ilus, tab
Article
in English
| LILACS
| ID: lil-482943
ABSTRACT
OBJECTIVE:
To clarify the role of peritoneography in assessing the patency of processus vaginalis (PV) in pediatric patients diagnosed with cryptorchidism. MATERIALS ANDMETHODS:
We designed a prospective clinical trial to evaluate the patency of PV in boys presenting cryptorchidism. Herniography was performed in 310 prepubertal boys. Data about the morphology of PV was compared with operative findings in those surgically treated patients. Retractile and ectopic testes were excluded from the study.RESULTS:
Of the 376 undescended testes (310 patients), 281 cases were associated with an obliterated PV. Herniography revealed 95 cases of open PV in cryptorchid boys. The 244 normally descended testes had associated patent processus vaginalis in only 31 cases.CONCLUSIONS:
Herniography is the most relevant procedure for accurate diagnosis of persistent PV. The persistence of PV was significantly more frequent when the position of the testes is more cranial. The incidence of an open PV decreases with age.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Peritoneum
/
Diverticulum
/
Cryptorchidism
/
Diagnostic Techniques, Urological
/
Hernia, Inguinal
Type of study:
Controlled clinical trial
/
Diagnostic study
/
Observational study
/
Risk factors
Limits:
Child
/
Child, preschool
/
Humans
/
Infant
/
Male
Language:
English
Journal:
Int. braz. j. urol
Journal subject:
Urology
Year:
2008
Type:
Article
Affiliation country:
Spain
Institution/Affiliation country:
Universidad de Santiago de Compostela/ES
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