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Undescended Testicle
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=== Imaging === * '''Not indicated for diagnosis of the non-palpable testis''' ** '''Has limited accuracy''' (sensitivity and specificity of US in localizing the nonpalpable testis are 45% and 78%, respectively) to confidently rule out the presence of intra-abdominal viable gonadal tissue, '''is not cost-effective, may delay referral and surgical treatment, and does not obviate the need for definitive surgical intervention.''' **'''Ultrasound evaluation is not a substitute for a well-performed exam''' '''and it does not add diagnostic accuracy to an evaluation by a less experienced healthcare provider or a limited exam due to an uncooperative child.''' ** Imaging studies that require sedation or anesthesia (such as MRI), regardless of the diagnostic performance of the test, do not have any therapeutic value. Thus, under most circumstances, surgical exploration is not avoided and a second anesthetic will be required for treatment. ** The use of imaging modalities that employ ionizing radiation (such as CT scans) should be avoided ** '''Imaging tests may have potential merit solely in directing the best initial approach (e.g. scrotal vs. inguinal vs. laparoscopic exploration).'''
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