PhenX - testes development protocol 101501:-:Pt: Patient:-:PhenXLOINC code
Preferred Label : PhenX - testes development protocol 101501:-:Pt: Patient:-:PhenX;
LOINC status : TRIAL;
LOINC long common name : PhenX - testes development protocol 101501;
LOINC short name : Testes development proto;
LOINC description : A physician uses an orchidometer to measure testes size and determine the onset of
puberty and later pubertal development. The orchidometer beads, which are of increasing
volume from 1 ml to 25 ml are compared with the size of the subject's testicles. The
examiner is careful to only include testicular tissue in the comparison. The orchidometer,
a series of ellipsoids of increasing volume, are used to determine testes size. Each
testis is measured with the patient standing in a warm room. The ellipsoid is held
up to each isolated testis and a measurement is estimated, making sure not to include
the epididymis in the measurement. One measurement is adequate, but it never hurts
to do more than once (Prader A., 1966, 1975). The testicular examination requires
two hands and should be performed in a warm room. The hands may be lubricated with
surgical lubricant or warm, soapy water if necessary. The patient is supine. One hand
is placed near the anterior superior iliac spine and the other on the scrotum. The
first hand is swept from the anterior iliac spine along the inguinal canal to gently
express any retained testicular tissue into the scrotum. A true undescended or ectopic
inguinal testis may slide or pop under the examiner's fingers during this maneuver.
A low ectopic or retractile testis will be felt by the second hand as the testis is
milked into the scrotum by the first hand.(Cooper and Docimo 2010; Drutz 2010). Examination
of older children and adult testes is routinely performed in the standing position.
Examination of adults with a suspected undescended testis should be done in both the
supine and standing positions with adequate cremasteric relaxation to differentiate
true UDT or ectopic testes from retractile testes (Eyre 2010).;
Has component