Araştırma Makalesi
Yıl 2022,
Cilt: 8 Sayı: 2, 233 - 241, 31.05.2022
Öz
Kaynakça
- 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.
- 11. Cho A, Thomas J, Perera R, Cherian A. Undescended testis. BMJ 2019;364:l926.
- 12. Kim SO, Hwang EC, Hwang IS, Oh KJ, Jung SI, Kang TW, et al. Testicular catch up growth: the impact of orchiopexy age. Urology 2011;78(4):886-9.
- 13. Yildiz T, Keles I, Metin M, Dumlupinar Y, Arpacik M, Aydinc M, et al. Age of Surgery of Undescended Testis in Turkey; Does it Show Health Care Level? Konuralp Medical Journal 2014;6(2):29-33.
- 14. Kokorowski PJ, Routh JC, Graham DA, Nelson CP. Variations in timing of surgery among boys who underwent orchidopexy for cryptorchidism. Pediatrics 2010;126(3):e576-82.
- 15. Wenzler DL, Bloom DA, Park JM. What is the rate of spontaneous testicular descent in infants with cryptorchidism? J Urol 2004;171(2):849-51.
- 16. Chan E, Wayne C, Nasr A; FRCSC for Canadian Association of Pediatric Surgeon Evidence-Based Resource. Ideal timing of orchiopexy: a systematic review. Pediatr Surg Int 2014;30(1):87-97.
- 17. Kolon TF, Herndon CD, Baker LA, Baskin LS, Baxter CG, Cheng EY, et al. Evaluation and treatment of cryptorchidism: AUA guideline. J Urol 2014;192(2):337-45.
- 18. Waldschmidt J, Doede T, Vygen I. The results of 9 years of experience with a combined treatment with LH-RH and HCG for cryptorchidism. Eur J Pediatr 1993;152(2):34-6.
- 19. Simpson M, Sundaram V. Urologic Conditions in Infants and Children: Inguinal Hernia, Hydrocele, and Cryptorchidism. FP Essent 2020;488:16-20.
Yıl 2022,
Cilt: 8 Sayı: 2, 233 - 241, 31.05.2022
Öz
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.
Anahtar Kelimeler
Kaynakça
- 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.
- 11. Cho A, Thomas J, Perera R, Cherian A. Undescended testis. BMJ 2019;364:l926.
- 12. Kim SO, Hwang EC, Hwang IS, Oh KJ, Jung SI, Kang TW, et al. Testicular catch up growth: the impact of orchiopexy age. Urology 2011;78(4):886-9.
- 13. Yildiz T, Keles I, Metin M, Dumlupinar Y, Arpacik M, Aydinc M, et al. Age of Surgery of Undescended Testis in Turkey; Does it Show Health Care Level? Konuralp Medical Journal 2014;6(2):29-33.
- 14. Kokorowski PJ, Routh JC, Graham DA, Nelson CP. Variations in timing of surgery among boys who underwent orchidopexy for cryptorchidism. Pediatrics 2010;126(3):e576-82.
- 15. Wenzler DL, Bloom DA, Park JM. What is the rate of spontaneous testicular descent in infants with cryptorchidism? J Urol 2004;171(2):849-51.
- 16. Chan E, Wayne C, Nasr A; FRCSC for Canadian Association of Pediatric Surgeon Evidence-Based Resource. Ideal timing of orchiopexy: a systematic review. Pediatr Surg Int 2014;30(1):87-97.
- 17. Kolon TF, Herndon CD, Baker LA, Baskin LS, Baxter CG, Cheng EY, et al. Evaluation and treatment of cryptorchidism: AUA guideline. J Urol 2014;192(2):337-45.
- 18. Waldschmidt J, Doede T, Vygen I. The results of 9 years of experience with a combined treatment with LH-RH and HCG for cryptorchidism. Eur J Pediatr 1993;152(2):34-6.
- 19. Simpson M, Sundaram V. Urologic Conditions in Infants and Children: Inguinal Hernia, Hydrocele, and Cryptorchidism. FP Essent 2020;488:16-20.
Toplam 19 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 31 Mayıs 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 8 Sayı: 2 |
