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Pediatric Radiology

, Volume 18, Issue 1, pp 51–53 | Cite as

Unsuspected urological anomalies in asymptomatic cryptorchild boys

  • C. H. Pappis
  • S. A. Argianas
  • D. Bousgas
  • E. Athanasiades
Originals

Abstract

In a period of 6 years 144 asymptomatic boys with cryptorchidism, of mean age 7±SD 3.5 years, underwent orchiopexy. None of these boys referred to a history of a known urological anomaly, urinary tract infection, haematuria, palpable mass in the renal region, bladder extrophy, epispadias, hypospadias or anorectal malformation. On the third day after orchiopexy an intravenous pyelography was done in every boy following testicular protection against irradiation. Ultrasonic investigation was not available at that time. There were minor urological abnormalities in 36 (25%) boys and major ones in 8 (5.5%) boys. A major anomaly is defined as one resulting in significant loss of renal substance (one case of single kidney and three cases of unilateral renal hypoplasia), or requiring surgical correction for conservation of the renal substance (one case of ureterocele, two cases of pelviureteric stenosis and one case of vesicoureteric stenosis with ipsilateral hydronephrosis). The unsuspected major urological abnormalities are usually ipsilateral to the more undescended testis. They may be associated with a hernia and are more frequent in bilateral cryptorchidism. In conclusion we encourage the routine use of IVP, or ultrasonic investigation or dynamic renal scanning (99mTc-DTPA), if it is possible, in all patients undergoing orchiopexy for the detection of an unsuspected major renal anomaly.

Keywords

Hydronephrosis Hypospadias Cryptorchidism Undescended Testis Anorectal Malformation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Felton LM (1959) Should intravenous pyelography be a routine procedure for children with cryptorchism or hypospadias? J Urol 81: 335PubMedGoogle Scholar
  2. 2.
    Donohue RE, Utley WLF, Maling TM (1973) Excretory urography in asymptomatic boys with cryptorchidism. J Urol 109: 912PubMedGoogle Scholar
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    Noe HN, Patterson TH (1978) Screening urography in asymptomatic cryptorchid patients. J Urol 119: 669PubMedGoogle Scholar
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    Fallon B, Welton M, Hawtrey C (1982) Congenital anomalies associated with cryptorchidism. J Urol 127: 91PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1988

Authors and Affiliations

  • C. H. Pappis
    • 1
  • S. A. Argianas
    • 1
  • D. Bousgas
    • 1
  • E. Athanasiades
    • 1
  1. 1.Departments of Paediatric Surgery and RadiologyPendeli Children's HospitalAthensGreece

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