Objective: Cryptorchidism is one of the congenital anomalies which are commonly seen during the childhood. It should be trea-ted within the first one year because of the complications that will be able to occur in the testicle together with aging. We retrospecti-vely evaluated our cases of cryptorchidism.
Materials and Methods: Between March 1999 and June 2011, 219 patients whose treated because of cryptorchidism in our cli-nic were retrospectively evaluated in terms of the ages, concomi-tant pathologies,
educational status of the families, complications and treatment. Results: Totally 219 of the cases whose ages ranged from 6 months to 31 years and 283 of undescended testicles whose 64 were bilateral, 86 were right and 69 were left were examined. While the orchiopexy was applied in 235 of undescended testicles, the orchi-ectomy was applied to 48 of undescended testicles. In the histopat-hologic examination of the orchiectomy materials, the seminoma in 1 case, the sertoli cell-only in 24 cases, the leyding cell hyperplasia 1 case, the tubular atrophy in 14 cases, the germinal aplasia in 6 ca-ses, the spermatogenic arrest in 2 cases were detected. In addition, there were genito-urinary problems in 19 of our cases, and the other system problems in 11 of our cases. 5 of our cases with the testicular torsion and the other 5 of our cases had applied to with the in-karsere hernia.
Conclusion: The rates of the complications such as the inferti-lity, the testicular loss and the potential for the malignancy due to the delays in the diagnosis and treatment of undescended testicles have increased. For early treatment&low rates of the complication as a result of this; families should be informed about the undescen-ded testicle and its results and the interest of the health staff about the subject should be increased.
Key Words: Cryptorchidism , infertility, orchiectomy, orchio-pexy
Abstract
Objective: Cryptorchidism is one of the congenital anomalies which are commonly seen during the childhood. It should be trea-ted within the first one year because of the complications that will be able to occur in the testicle together with aging. We retrospecti-vely evaluated our cases of cryptorchidism.
Materials and Methods: Between March 1999 and June 2011, 219 patients whose treated because of cryptorchidism in our cli-nic were retrospectively evaluated in terms of the ages, concomi-tant pathologies,
educational status of the families, complications and treatment. Results: Totally 219 of the cases whose ages ranged from 6 months to 31 years and 283 of undescended testicles whose 64 were bilateral, 86 were right and 69 were left were examined. While the orchiopexy was applied in 235 of undescended testicles, the orchi-ectomy was applied to 48 of undescended testicles. In the histopat-hologic examination of the orchiectomy materials, the seminoma in 1 case, the sertoli cell-only in 24 cases, the leyding cell hyperplasia 1 case, the tubular atrophy in 14 cases, the germinal aplasia in 6 ca-ses, the spermatogenic arrest in 2 cases were detected. In addition, there were genito-urinary problems in 19 of our cases, and the other system problems in 11 of our cases. 5 of our cases with the testicular torsion and the other 5 of our cases had applied to with the in-karsere hernia.
Conclusion: The rates of the complications such as the inferti-lity, the testicular loss and the potential for the malignancy due to the delays in the diagnosis and treatment of undescended testicles have increased. For early treatment&low rates of the complication as a result of this; families should be informed about the undescen-ded testicle and its results and the interest of the health staff about the subject should be increased.
Key Words: Cryptorchidism , infertility, orchiectomy, orchio-pexy