Unnecessary ultrasound imaging in the management of undescended testis

Dharshini Selvarajah, Dermot McDowell, Susan Jehangir and Grahame Smith
Med J Aust 2021; 215 (11): . || doi: 10.5694/mja2.51324
Published online: 13 December 2021

To the Editor: Undescended testis affects 2–4% of term male newborns.1 Clinical examination by an experienced clinician remains the most accurate method of assessing the position of the testis. It allows for the clear distinction between a retractile testis and palpable and impalpable undescended testes. In 2013, an evidence‐based statement on undescended testes was released jointly by Choosing Wisely and the American Urological Association which advocated against performing ultrasounds to investigate undescended testes due to their poor ability to localise non‐palpable testes.2 Unfortunately, this recommendation is not listed in the Australian Choosing Wisely website.

  • 1 Children’s Hospital at Westmead, Sydney, NSW
  • 2 Christian Medical College Vellore Association, Vellore, Tamil Nadu, India
  • 3 Sydney Adventist Hospital, Sydney, NSW

Competing interests:

No relevant disclosures.


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