Connect
MJA
MJA

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.

  • Dharshini Selvarajah1
  • Dermot McDowell1
  • Susan Jehangir2
  • Grahame Smith3

  • 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.

Author

remove_circle_outline Delete Author
add_circle_outline Add Author

Comment
Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.