maxwell@marshall.edu
Contributor
I need help with this one. I think we will just have to charge for a hospital visit....
Examination under anesthesia for impalpable difficult to assess left testes in a child with cerebral palsy.
Male with mild cerebral palsy who has spasticity who prior as a 2 yr old had bilateral retractile testes. have been following annually for some time. this year, we had difficulty assising his left testes in the office and it was electred at this time to schedule him for exam under anesthesia to be assured that the head presence of a left testes that indeed still remained retractile. both testes were difficult talways to deliver dure to their size as he has evidence of hypogonadism.
Procedure:
in the supine postion under general inhalational anesthesia, prior to prepping the patient we assessed his inguinal scrotal regoin bilaterally. in the supine position, he was relaxed and his airway managed by anesthesia and a bit of sedation was given, we were able to identify both testes within the inguinal canals and they were retrievable and would deliver to their dependent scrotal compartments. both the left and right testes were retractile and very small, almost infantile . our final assessment was bilateral retractile testes. at this point, anesthesia was instructed to recover the patient and we proceeded to take the patient to PACU.
Any help will be greatly appreciated.
Examination under anesthesia for impalpable difficult to assess left testes in a child with cerebral palsy.
Male with mild cerebral palsy who has spasticity who prior as a 2 yr old had bilateral retractile testes. have been following annually for some time. this year, we had difficulty assising his left testes in the office and it was electred at this time to schedule him for exam under anesthesia to be assured that the head presence of a left testes that indeed still remained retractile. both testes were difficult talways to deliver dure to their size as he has evidence of hypogonadism.
Procedure:
in the supine postion under general inhalational anesthesia, prior to prepping the patient we assessed his inguinal scrotal regoin bilaterally. in the supine position, he was relaxed and his airway managed by anesthesia and a bit of sedation was given, we were able to identify both testes within the inguinal canals and they were retrievable and would deliver to their dependent scrotal compartments. both the left and right testes were retractile and very small, almost infantile . our final assessment was bilateral retractile testes. at this point, anesthesia was instructed to recover the patient and we proceeded to take the patient to PACU.
Any help will be greatly appreciated.