پديد آورندگان :
Bahador Ali نويسنده , Hosseini Seyed Mohammad Vahid نويسنده , Foroutan Hamidreza نويسنده , Banani Seyed Javad نويسنده , Sabet Babak نويسنده
چكيده لاتين :
Many different techniques have been described
to treat undescended testes. We aimed to study a new technique
of two-stage orchiopexy with total inguinal canal mobilization
to prevent cord damage and testicular atrophy.
Methods: Between March 2002 and July 2005, we operated on
16 testes with short spermatic cord. In the first stage, the testes
were anchored to the pubic tubercle and 6 months later (second
stage) they were fixed in the scrotum through total inguinal canal
mobilization. The patients were followed up by pre and
postoperative physical examination, sonography of scrotum, and
serum testosterone level measurement for 6-12 months.
Results: Two of the 16 testes developed atrophy but 14 had volume
increase. Mean testicular volumes of preoperative and 1 and
6 months postoperative testes were 0.69 پ} 0.22 ml, 0.84 پ}0.26 ml,
and 1.06 پ}0.33 ml respectively. The volume increase was not only
significant 1 (P=0.012) and 6 (P=0.002) months after the second
operation compared with the first operation but also a significant
increase in the volume was noted between the 1st and 6th month
after the operation (P=0.003). All testes were in scrotum after 6-
12 months and the patients had normal serum testosterone level
for their ages before and after the operation.
Conclusion: Two-stage orchiopexy with total inguinal canal
mobilization prevents vascular damage in the second stage of
operation.
Iran J Med Sci 2009; 34(2): 100-103.
