Testis Ektopisi (22 Senede Klinikte Yatırılarak Tedavi Edilen 200 Vak’a Münasebetiyle)

Year 1967, Volume: 20 Issue: 3, 441 - 448, 30.09.1967

Kemal Serav

Abstract

This study evaluates 200 cases of testicular ectopia observed over 22 years at Ankara University Urology Clinic, among 5329 male patients (incidence: 4.8%). Ectopia was most commonly located in inguinal or subinguinal positions, with bilateral involvement seen in 22.5% of cases and associated hernia in 56%. The etiological factors included anatomical abnormalities and hormonal deficiencies, particularly hypophyseal hormone insufficiency. While hormonal therapy using human chorionic gonadotropin (HCG) was employed primarily as a diagnostic tool, surgical intervention (preferably before age 8) provided definitive treatment. Modified Hahn method was performed in 196 cases, while 4 patients required unilateral orchiectomy due to vascular limitations. Early diagnosis and intervention were emphasized to prevent complications like sterility, psychological issues, and tumor development.

Keywords

Testicular ectopia , cryptorchidism , HCG therapy , inguinal hernia , orchidopexy , Hahn technique

Testicular Ectopia (Based on 200 Cases Treated Over a 22-Year Period at the Urology Clinic)

Abstract

Bu çalışmada Ankara Üniversitesi Üroloji Kliniği’nde 22 yıl içinde yatarak tedavi edilen 200 testis ektopisi vakası değerlendirilmiştir. 5329 erkek hasta arasında %4.8 oranında görülme sıklığı saptanmıştır. Ektopik testislerin %22.5’i bilateral, %77.5’i unilateral; %56’sında eşlik eden inguinal herni gözlenmiştir. Etiyolojide anatomik faktörler ve özellikle hipofiz kaynaklı hormonal yetersizlik üzerinde durulmuştur. HCG ile hormonal tedavi çoğunlukla tanı testi olarak kullanılırken, kesin tedavi cerrahi yöntemlerle sağlanmıştır. Hastaların çoğuna modifiye Hahn metodu uygulanmış, vasküler sınırlamalardan dolayı 4 vakada tek taraflı kastrasyon gerekmiştir. Komplikasyonları (sterilite, tümör, psikolojik etkiler) önlemek için tedavinin en geç 8 yaşında yapılması vurgulanmıştır.

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