Ignite Creation Date:
2024-05-06 @ 7:55 PM
Last Modification Date:
2024-10-26 @ 3:17 PM
Study NCT ID:
NCT06187844
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-01-03
First Post:
2023-10-06
Brief Title:
Value of Inguinal Exploration for Impalpable Testes
Sponsor:
Assiut University
Organization:
Assiut University
Study Overview
Official Title:
Value of Inguinal Exploration in Cases of Impalpable Testis With Cord Structures Entering the Inguinal Canal
Status:
NOT_YET_RECRUITING
Status Verified Date:
2023-12
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
To determine the percentage of children with impalpable testis who benefit from inguinal exploration after laparoscopic identification of cord structures entering the inguinal canal
To determine the factors predicting the presence of inguinal testis in the previously mentioned children
To determine the factors predicting the presence of inguinal testis in the previously mentioned children
Detailed Description:
The undescended testis represents one of the most common disorders of childhood The most useful classification of undescended testes is distinguishing palpable and non-palpable tests and the location and presence of the tests decide clinical management Approximately 80 of all undescended tests are palpable and the other 20 are impalpable Among the 20 of non-palpable testes 50-60 are intra-abdominal canalicular or peeping right inside the internal inguinal ring The remaining 20 are absent and 30 are atrophic or rudimentary
Diagnostic laparoscopy is the most useful modality for assessing nonpalpable testicles The four most important structures to identify at laparoscopy are the testis the testicular vessels the vase deferens and the patency of the processus vaginalis The possible anatomical findings include spermatic vessels entering the inguinal canal 40 an intra-abdominal 40 or peeping 10 testis or blind-ending spermatic vessels confirming vanishing testis 10 It permits the identification of three surgical scenarios that will lead to different courses of action
1 Blind-ending vessels which indicate a vanishing intra-abdominal testis and no further exploration is necessary 10
2 Testicular vessels and vas entering the inguinal canal through the internal inguinal ring 34Inguinal exploration may find a testicular nubbin either in the inguinal region or in the scrotum which may or may not be removed or a healthy palpable undescended testicle amenable to standard orchidopexy
3 Peeping 11 or intra-abdominal tests 37 which will require either an open or a laparoscopic approach Although Rozanski et al reported the first case of intratubular germ cell neoplasia originating from a testicular remnant the necessity of removing nubbins is controversial
Diagnostic laparoscopy is the most useful modality for assessing nonpalpable testicles The four most important structures to identify at laparoscopy are the testis the testicular vessels the vase deferens and the patency of the processus vaginalis The possible anatomical findings include spermatic vessels entering the inguinal canal 40 an intra-abdominal 40 or peeping 10 testis or blind-ending spermatic vessels confirming vanishing testis 10 It permits the identification of three surgical scenarios that will lead to different courses of action
1 Blind-ending vessels which indicate a vanishing intra-abdominal testis and no further exploration is necessary 10
2 Testicular vessels and vas entering the inguinal canal through the internal inguinal ring 34Inguinal exploration may find a testicular nubbin either in the inguinal region or in the scrotum which may or may not be removed or a healthy palpable undescended testicle amenable to standard orchidopexy
3 Peeping 11 or intra-abdominal tests 37 which will require either an open or a laparoscopic approach Although Rozanski et al reported the first case of intratubular germ cell neoplasia originating from a testicular remnant the necessity of removing nubbins is controversial
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None