Dian Adi Syahputra, Vita Indriasari, Fransiska Kusumowidagdo
Introduction: Testicular nubbin is the most common case of impalpable testis found by pediatric urologists. Diagnostic and surgical management, including long-term follow-up, is still a debate, especially in cases of bilateral testicular nubbin. Case presentation: A 5-year-old boy with bilateral impalpable testis was brought to a hospital. A diagnostic laparoscopy was performed, and both internal inguinal rings were closed with testicular blood vessels, and the vas deferens had entered the inguinal canal. We found bilateral testicular nubbin on inguinal exploration and subsequently performed only right orchidopexy because it was larger than the left testis. Conclusion: Evidence-based medicine, comprehensive management, and consultation between doctor and patient are needed in bilateral management of testicular nubbin for a good patient outcome. © 2023, Sanglah General Hospital. All rights reserved.
Pediatric Surgery Division, Department of Surgery, Faculty of Medicine, Universitas Syiah Kuala, Dr. Zainoel Abidin Hospital, Aceh, Banda Aceh, 23111, Indonesia; Pediatric Surgery Urogenital Consultant, Pediatric Surgery Division, Faculty of Medicine, Universitas Padjadjaran, Hasan Sadikin Hospital, West Java, 45363, Indonesia; Pediatric Surgery Department, Faculty of Medicine, Universitas Airlangga, Soetomo Hospital, East Java, 60115, Indonesia; Pediatric Urogenital Fellowship, Pediatric Surgery Division, Faculty of Medicine, Universitas Padjadjaran, Hasan Sadikin Hospital, West Java, Indonesia
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