Correspondence Address:
Prof. Mahmood Dhahir Al-Mendalawi
P.O. Box 55302, Baghdad Post Office, Baghdad
Iraq

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Sir,

I read with interest the distinguished study by Srinivas et al.[1] published in the July–September 2019 issue of the Journal of Indian Association of Pediatric Surgeons. The authors generated age-specific nomogram of the testicular volume with centiles and standard deviations to Indian children up to 8 years of age.[1] Based on the following methodological limitation, I assume that the clinical implication of that constructed nomogram must be exercised cautiously. It is explicit that there are ethnic differences in testicular size.[2] India is a country with a unique admixture of different ethnicities. The authors did not address, in the study methodology, the ethnic standards of the studied pediatric population.[1] Hence, I assume that age- and ethnicity-specific normative values of the testis size ought to be formulated. Despite the aforementioned limitation, the constructed reference values represent a useful tool in assessing testicular health in pediatric clinical settings and researches.

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