MINI REVIEW article
Front. Pediatr.
Sec. Pediatric Urology
Volume 13 - 2025 | doi: 10.3389/fped.2025.1554081
This article is part of the Research TopicManagement Of Pediatric Testicular MicrolithiasisView all articles
Clinical and Imaging Diagnosis of Pediatric Testicular Microlithiasis: a physician's dilemma
Provisionally accepted
- 1Faculty of Medicine, Tunis El Manar University, Tunis, Tunisia
- 2a- Department of pediatric surgery “A”. “Bechir Hamza” Children’s Hospital of Tunis. Tunis El Manar University b- Research Laboratory LR12SP13, Faculty of Medicine of Monastir, Tunisia, tunis, Tunisia
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Testicular microlithiasis (TM) is a relatively rare and incompletely understood condition, particularly in the pediatric population. Its clinical significance and optimal diagnostic and therapeutic management remain subjects of ongoing debate. In order to clarify current practices and guide clinical decision-making, we conducted a literature review of recent studies published using the search terms testicular microlithiasis, testicular calculi, testicular neoplasm, and children. The primary objective of this review was to propose a standardized diagnostic management algorithm based on the available evidence.The nature of testicular microlithiasis remains a subject of ongoing debate. In the absence of definitive evidence, continued follow-up appears to be the safest approach to minimize the risk of delayed diagnosis in the event of malignant transformation or tumor development. Routine scrotal examination should be encouraged and properly taught, particularly to adolescents and their caregivers. Ultrasonographic (US) surveillance, while not mandatory, should be considered when accessible, especially in individuals with additional risk factors.
Keywords: testicular lithiasis, testicular calculi, Children, testicular tumors, Management
Received: 31 Dec 2024; Accepted: 16 Jul 2025.
Copyright: © 2025 Habachi, Kerkeni and Riadh. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Ghada Habachi, Faculty of Medicine, Tunis El Manar University, Tunis, Tunisia
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