単睾丸症に対するIVPの意義

概要

論文の詳細を見る
It has been controversial whether or not intravenous pyelography (IVP) should be routinely done in the patients with monorchism. We performed IVP in 57 patients with surgically confirmed monorchism in order to investigate the incidence of upper urinary tract abnormalities, and found an incomplete ureteral duplication in only one patient. The etiology of monorchism is unkown. However, the fact that both spermatic vessels and vas deferens are found in most of the patients with monorchism implicates that testis was apparently present at a certain period of fetal life and "vanished" due to a catastrophe such as testicular torsion or vascular occlusion. In this occasion, monorchism may not be associated with upper urinary tract abnormalities and our study supports it. It is concluded that IVP is not indicated in the patients with monorchism caused by vanishing testis.
日本小児外科学会の論文
1987-10-20