Empty scrotum in adults

Mohamed T Musa, Randa Z A/Rahman


Background: Testicular maldescent is a common urological problem, the aetiology of which is not well understood. Though it can easily be detected and diagnosed at birth or during early childhood, still some patients present late. A reasonable number of patients presents for the first time with complications like infertility or malignant changes. The diagnosis is mainly clinical. The role of ultrasonography is not yet established.
Methods: this is a prospective hospital-based study of 96 patients with 104 impalpable testes. In addition to clinical history and examination, all patients had semenalysis, ultrasound scan and surgical exploration.
Results: Prevalence of empty scrotum was 1%. Fertility from the history was detected in 28 out of 40 married people while semenalysis was normal in 76 (79%) of the total. Testes were found to be intraabdominal in 60 (58%). Most of the testes were atrophied. Malignancy was detected in 2 cases (2%).
Conclusions: Empty scrotum in adults is more prevalent than expected. Ultrasonography in this study was not a sensitive diagnostic tool in cases of impalpable testes.

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ISSN: 1858-5345