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Assessment of Child Anthropometry in a Large Epidemiologic Study
09:36

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Published on: February 2, 2017

Obesity does not decrease the accuracy of testicular examination in anesthetized boys with cryptorchidism.

Benjamin N Breyer1, Michael DiSandro, Laurence S Baskin

  • 1Department of Urology, University of California San Francisco, San Francisco, California, USA.

The Journal of Urology
|December 20, 2008
PubMed
Summary
This summary is machine-generated.

Childhood obesity does not impact the accuracy of locating undescended testes during surgery. However, office examinations for cryptorchidism may be more reliable in non-obese boys.

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Area of Science:

  • Pediatric Surgery
  • Urology
  • Pediatric Endocrinology

Background:

  • Childhood obesity is a growing public health concern in the United States.
  • Undescended testes (cryptorchidism) require accurate localization for effective surgical management.
  • Obesity may present challenges in physical examinations, potentially affecting diagnostic accuracy.

Purpose of the Study:

  • To investigate whether childhood obesity hinders the physical examination-based localization of the cryptorchid testis.
  • To compare the accuracy of preoperative testicular localization in obese versus non-obese boys.

Main Methods:

  • A cohort of boys undergoing surgery for cryptorchidism were assessed.
  • Body mass index (BMI) and weight-for-height percentiles were used to classify patients by weight status (obese vs. non-obese).
  • Testicular location was determined via physical examination in the office and under general anesthesia before surgical incision. Data were analyzed using contingency tables and Fisher's exact test.

Main Results:

  • The accuracy of palpating a testis under anesthesia was high (>95%) across all weight classifications.
  • The predictive value of *not* palpating a testis under anesthesia was higher in obese boys (56%) compared to non-obese boys (42%).
  • Concordance rates between office and anesthesia examinations were 90.9% for obese and 82.7% for non-obese boys. Office examination accuracy for non-palpable testes was significantly higher in non-obese boys (81%) versus obese boys (22%).

Conclusions:

  • Childhood obesity does not reduce the accuracy of preoperative testicular examinations performed under general anesthesia.
  • Office-based physical examinations for cryptorchidism may be less accurate in obese children compared to non-obese children.