Five Year Follow-up Testicular Growth Results after Orchiopexy in Palpable Cryptorchid Testis / 대한비뇨기과학회지
Korean Journal of Urology
;
: 271-276, 2008.
Article
in Korean
| WPRIM
| ID: wpr-8860
ABSTRACT
PURPOSE:
Postoperative long-term follow-up studies after orchiopexy are rare as compared for other studies such as for histological changes and proper operative age. We analyzed the five-year long-term follow-up results after orchiopexy, expecting a proper prognosis of testicular growth. MATERIALS ANDMETHODS:
A total of 57 patients were selected from a follow-up study in 211 boys who underwent orchiopexy between January 1999 and July 2001. Patients were divided in several categories(operation age, testis consistency, pre-operational position of the testis) and were analyzed by examination of the previous medical records, preoperative and postoperative testicular volume(measured by ultrasonography), follow- up history taking, and from a physical examination.RESULTS:
For the 57 patients, 14 patients had bilateral and 43 patients had unilateral cryptorchidism. All of the cryptorchid testes were smaller than a normal testis in the unilateral group of patients as determined by testis ultrasonography. Sorting by operation age, only patients that received orchiopexy within two years from birth showed a significant recovery of testicular volume percentage(operated testis/normal testis x100% in the unilateral group) at follow-up. Sorting by consistency, the patients with normal testicular consistency showed a significant recovery of testicular volume percentage(operated testis/normal testis x100% in the unilateral group) at follow-up. Sorting by the preoperative position of the testis, the proximity of the testis to the scrotum was a significant factor for recovery of delayed cryptorchid testicular growth.CONCLUSIONS:
Orchiopexy performed at less than two years from birth and the proximity of the testis to the scrotum were significant factors for recovery of delayed cryptorchid testicular growth. Consistency of a cryptorchid testis can be a meaningful factor for expectation of testicular growth by the establishment of an objective measurement for testicular consistency and studies for histological correlation.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Follow-Up Studies
Type of study:
Observational study
/
Prognostic study
Language:
Korean
Journal:
Korean Journal of Urology
Year:
2008
Type:
Article
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