The Importance of Follow-Up and Evaluation of Intraoperative Findings to Determine Surgical Indications for Retractile Testis.

IF 1.8 Q3 UROLOGY & NEPHROLOGY Advances in Urology Pub Date : 2023-09-08 eCollection Date: 2023-01-01 DOI:10.1155/2023/8764631
Kazuro Kikkawa, Yuko Ueda, Shimpei Yamashita, Yasuo Kohjimoto, Isao Hara
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Abstract

Objectives: Ascending testis or acquired undescended testis develops in approximately 30% of cases of retractile testis, and orchiopexy is recommended for these cases. This study aimed at assessing the intraoperative anatomical findings of ascending testis and acquired undescended testis in search of better management for retractile testis.

Methods: We retrospectively collected data of patients with confirmed diagnosis of retractile testis between February 2012 and November 2021. Orchiopexy was performed for cases with ascending testis and for patients with increasing difference of right and left testicular volume. The site of gubernaculum attachment and patent processus vaginalis were evaluated during surgery.

Results: A total of 119 testes in 71 patients with retractile testis were included in this study. Sixteen retractile testes in 12 patients (17%) underwent orchiopexy. The weight at birth was significantly higher, and bilateral retractile testes were significantly more common in the follow-up group than in the surgical intervention group. In the surgical intervention group, the abnormal site of gubernaculum attachment was found in 12 out of 16 testes (75%), and patent PV was found in nine out of sixteen testes (56%). Sites of gubernaculum attachment in testes with patent PV were significantly higher than in sites with closed processus vaginalis, and all testes with patent processus vaginalis had abnormal site of gubernaculum attachment.

Conclusion: Patients with ascending testis and acquired undescended testis have clinical features and intraoperative abnormal findings similar to a cryptorchidism. Therefore, our surgical indication for retractile testis is considered appropriate.

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追踪和评估术中发现对确定睾丸回缩手术适应症的重要性。
目的:大约30%的睾丸回缩病例会发生睾丸上升或获得性睾丸下降,建议对这些病例进行睾丸切除术。本研究旨在评估升睾丸和获得性降睾丸的术中解剖结果,以寻求更好的睾丸回缩治疗方法。方法:我们回顾性收集了2012年2月至2021年11月期间确诊为睾丸回缩的患者的数据。对睾丸上升的患者和左右睾丸体积差异增大的患者进行了睾丸切除术。术中评估了引带附着部位和阴道突未闭。结果:本研究共纳入71例睾丸回缩患者的119个睾丸。12例患者中有16例(17%)接受了睾丸切除术。随访组出生时的体重明显高于手术干预组,双侧回缩睾丸明显更常见。在手术干预组中,16个睾丸中有12个(75%)发现了引带附着部位异常,16个(56%)睾丸中有9个发现了未闭PV。PV未闭的睾丸的引带附着部位明显高于阴道突闭合的睾丸,且所有阴道突未闭睾丸的引道附着部位均异常。结论:睾丸升沉和获得性睾丸降沉患者具有类似隐睾的临床特征和术中异常表现。因此,我们认为睾丸回缩的手术适应症是合适的。
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来源期刊
Advances in Urology
Advances in Urology UROLOGY & NEPHROLOGY-
CiteScore
2.90
自引率
0.00%
发文量
17
审稿时长
15 weeks
期刊介绍: Advances in Urology is a peer-reviewed, open access journal that publishes state-of-the-art reviews and original research papers of wide interest in all fields of urology. The journal strives to provide publication of important manuscripts to the widest possible audience worldwide, without the constraints of expensive, hard-to-access, traditional bound journals. Advances in Urology is designed to improve publication access of both well-established urologic scientists and less well-established writers, by allowing interested scientists worldwide to participate fully.
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