Our Surgical Technique and Results About Undescended Testis at Ordu University
Abstract
Objective: Undescended testis is one of the most common congenital anomalies among the children. It is very important to treat this disease at the appropriate time in experienced centers. The aim of this study is to share the experience and results of our clinic on undescended testicular surgery and discuss with literature.
Methods: The results of 38 patients who were operated with the diagnosis of primary undescended testis in our clinic and whose data were available were used. Patients' ages, sides, follow-up times, and results were recorded. Remaining of the testis in the scrotum after the procedure, increase of size in the follow-ups were used as success criteria.
Results: The mean age (median ± IQR) of our patients was 60.97±12.29 (7-230) months. While 20 (52.6%) of the patients applied with the diagnosis of undescended testis, 18 (47.4%) patients were diagnosed during the examination performed for other reasons. Hernia sacs were detected in 32 (84.2%) of the patients during surgery. Recurrence was observed in two cases, positive results were obtained in 36 (94.7%) cases. In the surgeries performed in our clinic, the success rate for undescended testis was 94.7%.
Conclusion: As a result of this study, the success rates in undescended testicular surgery were found to be satisfactory. An important finding in this study was that most of these patients were diagnosed late. For this reason, we think that it is important to raise awareness and education of the society about personal testicular examination.
Methods: The results of 38 patients who were operated with the diagnosis of primary undescended testis in our clinic and whose data were available were used. Patients' ages, sides, follow-up times, and results were recorded. Remaining of the testis in the scrotum after the procedure, increase of size in the follow-ups were used as success criteria.
Results: The mean age (median ± IQR) of our patients was 60.97±12.29 (7-230) months. While 20 (52.6%) of the patients applied with the diagnosis of undescended testis, 18 (47.4%) patients were diagnosed during the examination performed for other reasons. Hernia sacs were detected in 32 (84.2%) of the patients during surgery. Recurrence was observed in two cases, positive results were obtained in 36 (94.7%) cases. In the surgeries performed in our clinic, the success rate for undescended testis was 94.7%.
Conclusion: As a result of this study, the success rates in undescended testicular surgery were found to be satisfactory. An important finding in this study was that most of these patients were diagnosed late. For this reason, we think that it is important to raise awareness and education of the society about personal testicular examination.
Keywords
References
- 1. Snodgrass W, Bush N, Holzer M, Zhang S. Current referral patterns and means to improve accuracy in diagnosis of undescended testis. Pediatrics 2011;127(2):e382-8.
- 2. Elder JS. Surgical Management of the Undescended Testis: Recent Advances and Controversies. Eur J Pediatr Surg 2016;26(5):418-26.
- 3. Abaci A, Catli G, Anik A, Bober E. Epidemiology, classification and management of undescended testes: does medication have value in its treatment? J Clin Res Pediatr Endocrinol 2013;5(2):65-72.
- 4. Sijstermans K, Hack WW, Meijer RW, van der Voort-Doedens LM. The frequency of undescended testis from birth to adulthood: a review. Int J Androl 2008;31(1):1-11.
- 5. Berkowitz GS, Lapinski RH, Godbold JH, Dolgin SE, Holzman IR. Maternal and neonatal risk factors for cryptorchidism. Epidemiology 1995;6(2):127-31.
- 6. Fedder J, Cruger D, Oestergaard B, Petersen GB. Etiology of azoospermia in 100 consecutive nonvasectomized men. Fertil Steril 2004;82(5):1463-5
- 7. Kollin C, Karpe B, Hesser U, Granholm T, Ritzén EM. Surgical treatment of unilaterally undescended testes: testicular growth after randomization to orchiopexy at age 9 months or 3 years. J Urol 2007;178(4):1589-9.
- 8. Ritzén EM, Bergh A, Bjerknes R, Christiansen P, Cortes D, Haugen SE, et al. Nordic consensus on treatment of undescended testes. Acta Paediatr 2007;96(5):638-43.
- 9. Hadziselimovic F. Is Hormonal Treatment of Congenital Undescended Testes Justified? A Debate. Sex Dev 2019;13(1):3-10.
- 10. Hadziselimovic F, Gegenschatz-Schmid K, Verkauskas G, Demougin P, Bilius V, Dasevicius D, et al. GnRHa Treatment of Cryptorchid Boys Affects Genes Involved in Hormonal Control of the HPG Axis and Fertility. Sex Dev 2017;11(3):126-36.