{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:34:21Z","timestamp":1787758461823,"version":"build-2784847793"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>\n                      Dysplastic nubbin also referred to as testicular regression syndrome (TRS) is found in 5% of cases of the Non palpable testis (NPT). There is no consensus on the excision of the above and fixation of the contralateral solitary testis. We aimed to survey the prevalent practice of the same among members of the\n                      <jats:italic toggle=\"yes\">Indian Association of Pediatric Surgeons<\/jats:italic>\n                      (IAPS).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A structured questionnaire was sent through group e-mail and social media platforms to IAPS members to identify their practices in management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 132 surgeons responded to the questionnaire. Excision of intra-abdominal and inguinoscrotal TRS remnants was practiced by 84% (95% confidence interval [CI] 77%\u201389%) and 82% (95% CI 74%\u201387%). Fixation of contralateral solitary testis was practiced by 62% (95% CI 53%\u201370%) in the above scenario. Among the respondents, 30% reported encountering torsion of solitary testis during their career and this experience was a significant factor (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.01) in deciding contralateral orchidopexy. Scrotal infection\/necrosis was not encountered by a majority (72%) and it was not a deterrent factor in preventing contralateral orchidopexy (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.68).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The majority of pediatric surgeons favored the removal of intra-abdominal\/inguinoscrotal TRS remnants identified during laparoscopy for NPT. A majority favored sutureless fixation of the contralateral solitary testis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_57_22","type":"journal-article","created":{"date-parts":[[2022,11,10]],"date-time":"2022-11-10T23:28:42Z","timestamp":1668122922000},"page":"723-727","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Is Routine Excision of Dysplastic Testicular Remnants\/Nubbins Associated with Nonpalpable Testis Necessary? Is Routine Fixation of Contralateral Solitary Testis Indicated? A Survey on the Prevalent Practice among Indian Pediatric Surgeons"],"prefix":"10.4103","volume":"27","author":[{"given":"Ramesh","family":"Babu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harparkash Singh","family":"Miglani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rasik Shamji","family":"Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-13-20240905","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1016\/j.jpedsurg.2010.11.018","article-title":"The testicular regression syndrome \u2013 Do remnants require routine excision?","volume":"46","author":"Bader","year":"2011","journal-title":"J Pediatr Surg"},{"key":"R2-13-20240905","doi-asserted-by":"crossref","first-page":"834083","DOI":"10.3389\/fped.2022.834083","article-title":"Histopathological features of vanishing testes in 332 boys: What is its significance? A retrospective study from a tertiary hospital","volume":"10","author":"Gao","year":"2022","journal-title":"Front Pediatr"},{"key":"R3-13-20240905","doi-asserted-by":"crossref","first-page":"116","DOI":"10.4274\/Jcrpe.728","article-title":"Vanishing testes: A literature review","volume":"4","author":"Pirgon","year":"2012","journal-title":"J Clin Res Pediatr Endocrinol"},{"key":"R4-13-20240905","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1016\/S0022-5347(01)66507-8","article-title":"The remnant orchiectomy","volume":"155","author":"Rozanski","year":"1996","journal-title":"J Urol"},{"key":"R5-13-20240905","doi-asserted-by":"crossref","first-page":"1161","DOI":"10.1016\/S0022-5347(01)62726-5","article-title":"Histological evaluation of the testicular nubbin in the vanishing testis syndrome","volume":"160","author":"Cendron","year":"1998","journal-title":"J Urol"},{"key":"R6-13-20240905","doi-asserted-by":"crossref","first-page":"1204","DOI":"10.1016\/j.urology.2007.08.020","article-title":"Histologic evaluation of the testicular remnant associated with the vanishing testes syndrome: Is surgical management necessary?","volume":"70","author":"Storm","year":"2007","journal-title":"Urology"},{"key":"R7-13-20240905","doi-asserted-by":"crossref","first-page":"1421","DOI":"10.1016\/S0022-5347(05)65799-0","article-title":"Avoidance of inguinal incision in laparoscopically confirmed vanishing testis syndrome","volume":"166","author":"Van Savage","year":"2001","journal-title":"J Urol"},{"key":"R8-13-20240905","doi-asserted-by":"crossref","first-page":"151.e1","DOI":"10.1016\/j.jpurol.2015.01.018","article-title":"Is routine excision of testicular remnants in testicular regression syndrome indicated?","volume":"11","author":"Nataraja","year":"2015","journal-title":"J Pediatr Urol"},{"key":"R9-13-20240905","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1007\/s00383-017-4206-0","article-title":"Presence of viable germ cells in testicular regression syndrome remnants: Is routine excision indicated? A systematic review","volume":"34","author":"Nataraja","year":"2018","journal-title":"Pediatr Surg Int"},{"key":"R10-13-20240905","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1080\/15513810600788806","article-title":"Histopathological features of testicular regression syndrome: Relation to patient age and implications for management","volume":"25","author":"Law","year":"2006","journal-title":"Fetal Pediatr Pathol"},{"key":"R11-13-20240905","doi-asserted-by":"crossref","first-page":"694","DOI":"10.5858\/2000-124-0694-TRS","article-title":"Testicular regression syndrome: A clinical and pathologic study of 11 cases","volume":"124","author":"Spires","year":"2000","journal-title":"Arch Pathol Lab Med"},{"key":"R12-13-20240905","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1016\/j.jpurol.2010.08.003","article-title":"The return of the solitary testis","volume":"7","author":"Harper","year":"2011","journal-title":"J Pediatr Urol"},{"key":"R13-13-20240905","doi-asserted-by":"crossref","first-page":"950","DOI":"10.1016\/S0022-3468(82)80473-9","article-title":"Protection of the solitary testis","volume":"17","author":"Harris","year":"1982","journal-title":"J Pediatr Surg"},{"key":"R14-13-20240905","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1111\/j.1464-410X.1992.tb15535.x","article-title":"Fixation of a single testis: Always, sometimes or never","volume":"69","author":"Mishriki","year":"1992","journal-title":"Br J Urol"},{"key":"R15-13-20240905","doi-asserted-by":"crossref","first-page":"513","DOI":"10.3109\/00365599609182336","article-title":"Contralateral testicular torsion after previous unilateral orchiopexy for undescended testis","volume":"30","author":"Rasmussen","year":"1996","journal-title":"Scand J Urol Nephrol"},{"key":"R16-13-20240905","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1016\/S0022-5347(17)49128-2","article-title":"The blind-ending vas: The fate of the contralateral testis","volume":"133","author":"Bellinger","year":"1985","journal-title":"J Urol"},{"key":"R17-13-20240905","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1016\/S0090-4295(94)80020-0","article-title":"Incidence of the bell-clapper deformity in an autopsy series","volume":"44","author":"Caesar","year":"1994","journal-title":"Urology"},{"key":"R19-13-20240905","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1016\/j.juro.2008.10.074","article-title":"Cryptorchidism and testicular cancer: Separating fact from fiction","volume":"181","author":"Wood","year":"2009","journal-title":"J Urol"},{"key":"R20-13-20240905","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1055\/s-2006-924606","article-title":"Routine contralateral orchiopexy for children with a vanished testis","volume":"16","author":"Al-Zahem","year":"2006","journal-title":"Eur J Pediatr Surg"},{"key":"R21-13-20240905","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/S0022-5347(05)00060-1","article-title":"Testicular fixation following torsion of the spermatic cord \u2013 Does it guarantee prevention of recurrent torsion events?","volume":"175","author":"Mor","year":"2006","journal-title":"J Urol"},{"key":"R22-13-20240905","first-page":"391","article-title":"The clinical utility of testicular prosthesis placement in children with genital and testicular disorders","volume":"3","author":"Kogan","year":"2014","journal-title":"Transl Androl Urol"}],"container-title":["Journal of Indian Association of Pediatric Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.jiaps_57_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:15:01Z","timestamp":1787757301000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.jiaps_57_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11]]},"references-count":21,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jiaps.jiaps_57_22","relation":{},"ISSN":["0971-9261"],"issn-type":[{"value":"0971-9261","type":"print"}],"subject":[],"published":{"date-parts":[[2022,11]]}}}