Testicular Temperature and the Effects of Orchiopexy in Infants with Cryptorchidism
| Autor: | Koji Shiraishi, Hideyasu Matsuyama, Hiroshi Takihara |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
endocrine system medicine.medical_specialty endocrine system diseases Urology medicine.medical_treatment urologic and male genital diseases Cryptorchidism Testis medicine Humans Orchiopexy Laparoscopy Retrospective Studies Ultrasonography medicine.diagnostic_test urogenital system business.industry Temperature Infant Organ Size Treatment Outcome Scrotum business |
| Zdroj: | Journal of Urology. 206:1031-1037 |
| ISSN: | 1527-3792 0022-5347 |
| DOI: | 10.1097/ju.0000000000001896 |
| Popis: | Testicular temperature should remain low to maintain optimal function of germ cells; however, information regarding testicular temperature in infants and the effect of cryptorchidism and its correction, including laparoscopic staged Fowler-Stephens orchiopexy (LSFSO), is limited.A total of 82 infants with unilateral palpable cryptorchidism, 24 with nonpalpable testes who underwent unilateral LSFSO and 20 with scrotal hydrocele were included. Ultrasonographic determination of testicular volume and measurement of testicular temperature but not scrotal surface temperature using a Coretemp CTM204Undescended testicular volume was significantly increased after orchiopexy (0.80 ml to 0.92 ml, p0.0001). The preoperative testicular temperature (35.1C) was significantly higher than that of the control (34.4C, p0.0001), and significant decreases in testicular temperature occurred after orchiopexy (34.3C, p0.0001). A multivariate analysis showed that a decrease in testicular temperature was a factor associated with postoperative testicular development. Twelve months after LSFSO, transinguinal approach was shown to be more effective in decreasing the testicular temperature than the conventional approach (34.4 and 35.3C, respectively, p0.05).Orchiopexy is effective in correcting the high-temperature environment caused by cryptorchidism. In the case of nonpalpable testes treated by LSFSO, transinguinal fixation is more effective than the conventional approach in reducing testicular temperature, but a longer followup period is necessary to draw a final conclusion. |
| Databáze: | OpenAIRE |
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