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- Title
Autotransplantul testicular versus orhidopexie standard - prezentare de caz.
- Authors
Voinea, S.; Zamfirescu, F.; Sinescu, D. R.; Hârza, M.; Manea, I.; Gagiu, C.; Haineala, B.; Surcel, C.; fiuca, M.; Sinescu, I.
- Abstract
Introduction and aim Cryptorchidism or undescendent testis is a very common anomaly of the male genitalia, affecting 2% - 4% of male infants and about 30% in premature infants. The choice between orhiectomy and orhidopexy for uni/bilateral cryptorchidism in adolescents and young adults is still a debate in the urological practice. The aim of the study was to report a case of a young adult with bilateral cryptorchidism. Method and patients A case of 21 years old male with bilateral cryptorchidism is presented. The sperm analysis shown azoospermia and the level of plasma testosterone was at the lower border - 10.96 nmol/L (normal range 9.9 - 27.8 nmol/L). Contrast enhanced abdominopelvin computed tomography located left testicle in the upper third of inguinal canal and right testicle in the abdomen. The testicles were about the same size (3.8/2.2 cm on the left and 3.4/2 on the right). A standard orhidopexy on left side and, after 2 weeks, testicular autotransplantation on the right side was performed. Result 2 weeks postoperative check-up revealed the left and right testicle at the upper and, respectively, at the base of the scrotum. Doppler ultrasound detected peek systolic speed of 7.62 cm/sec and 31.64 cm/sec in the left, respectively, right testicle. Conclusion For a high level undescendet testis (into the abdomen or in the upper part of inguinal canal) the best aproach in order to achieve a good cosmetical aapearance of the genitalia and a good prezervation of testicular function is testicular autotransplantation.
- Subjects
CRYPTORCHISM; AUTOTRANSPLANTATION; MALE reproductive organs; UROLOGICAL nursing; TESTOSTERONE; POSTOPERATIVE care; TOMOGRAPHY; DOPPLER ultrasonography
- Publication
Romanian Journal of Urology, 2010, Vol 9, Issue 4, p65
- ISSN
1223-0650
- Publication type
Article