Cryptorchidism in the New Millennium : Changing Attitude of Management

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概要

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• Cryptorchidism is one of the most common genitourinary anomalies in male infants. However, controversies still exists regarding the timing and ways of management of cryptorchid patients. We present herein our experience with 150 cryptorchid patients who were treated at Sporting's hospital for infants and school children in Alexandria, Egypt during the period from January 1998 to January 2000. Patient's age varies from 4 months up to 5 years with the mean age of 2.3 years. They were classified into 2 groups ; Group I : (56 patients) who were operated at the age of less than 1 year. Group II : (94 patients) who were operated at the age of more than 1 year. Thirty-eight patients (25.3%) showed impalpable undescended testes. [7 (18.4%) : Bilateral and 31 (81.6%) : Unilateral] while 26 (17.3) were having retractile testes and 16 patients showed ectopic testes. Ultrasonography was performed for all patients in order to verify the testicular site, while MRI was done in 30 patients with impalpable undescended testes. Surgical intervention was performed in all patients with successful scrotal orchiopexy in 143 patients, negative exploration in 5 patients and orchidectomy of atrophic testes in 2 patients. The time of surgery didn't show any statistical significant difference between the 2 groups. Follow-up period varied from one month up to 2 years. Post-operative complications were seen in 10 patients (0.7%), three patients showed post operative scrotal haematoma that had resolved conservatively, four patients with post operative oedema that also resolved conservatively. The other 3 patients had postoperative fever, one was due to wound infection and the other 2 were due to post operative chest infection and they all resolved by treatment. There was no statistical significant difference in the complication rate between the groups. In conclusion, orchiopexy is better to be performed as early as possible especially for the highly located undescended testes. In this study, there was no significant difference in neither the operative timing nor the incidence of the postoperative complications. Follow-up period is too short ; yet, a long-term follow-up will be needed to verify this concept in treating cryptorchid patients in the future.

• 特定非営利活動法人日本小児外科学会の論文
• 2001-02-20

著者

• Zakaria Ossama

  Department Of Paediatric Surgery Fasculty Of Medicine Kyushu University

• Zakaria Ossama

  Departments Of Paediatric Surgery Alexandria University:alexandria Sporting's Hospital For Sick

• Shehata Sameh

  Alexandria Sporting's Hospital For Sick Children

• Moghazy Khaled

  Departments of Radiology, Alexandria University

• Abdallah M.

  Alexandria Sporting's Hospital for Sick Children

• El-Din Yasser

  Departments of Paediatric Surgery Alexandria University

• Moghazy Khaled

  Departments Of Radiology Alexandria University

• El-din Yasser

  Departments Of Paediatric Surgery Alexandria University:alexandria Sporting's Hospital For Sick

• Abdallah M.

  Alexandria Sporting's Hospital For Sick Children

関連論文

• Comparative studies of fertility and histologic development of contralateral scrotal testes in two rat models of unilateral cryptorchidism
• B61 Undescended testis : Effects of Temperature on Testicular Development and Fertility
• C-89 Studies of Fertility and Histology in Unilateral Cryptorchid Rat Model at Different Ages
• B59 COMPARATIBE HISTOLOGICAL STUDIES OF CRYPTORSHID AND SCROTAL TETES IN TWO DIFFERENT SURGICALLY INDUCED RAT MODELS OF UNILATERAL CYUPTORCHIDISM.
• Cryptorchidism in the New Millennium : Changing Attitude of Management
• Cryptorchidism : Changing Attitude of Management

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