Home > Journals > Minerva Pediatrica > Past Issues > Minerva Pediatrica 2013 June;65(3) > Minerva Pediatrica 2013 June;65(3):261-9

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

MINERVA PEDIATRICA

A Journal on Pediatrics, Neonatology, Adolescent Medicine,
Child and Adolescent Psychiatry


Indexed/Abstracted in: CAB, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,532


eTOC

 

ORIGINAL ARTICLES  


Minerva Pediatrica 2013 June;65(3):261-9

language: Italian

Cryptorchidism: medium- and long-term follow-up

Rossi V., Sartori A., Bordin G., Parolini F., Morandi A., Arnoldi R., Brisighelli G., Leva E., Torricelli E. M.

Unità Operativa Complessa di Chirurgia Pediatrica, Dipartimento Salute della Donna, del Bambino e del Neonato, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milano, Italia


PDF  


Aim: Cryptorchidism represents the most frequent male genital anomaly in paediatric population and may potentially interfere with fertility and determine neoplastic testicular diseases. We wanted to evaluate the correlation between age at orchiopexy and follicle-stimulating hormone (FSH), luteinizing hormone (LH) and testosterone levels in adulthood, determining the long-term complications of surgical treatment.
Methods: Fifty-seven patients (mean age 19 years, range 18-27) surgically treated for cryptorchidism in pediatric age were included in a medium and long-term follow-up (10-19 years). We divided this population into four groups: A) monolateral cryptorchidism operated on before 36 months of age (15); B) monolateral cryptorchidism operated on over 36 months (32); C) bilateral cryptorchidism operated on before 36 months (5); and D) bilateral cryptorchidism operated on over 36 months (5). All patients underwent andrological examination, testosterone, FSH and LH dosage, measurement of testicular volume and spermiogram.
Results: Significant different FSH levels were found between group A and C and between A and D (P<0.01), while groups A and D presented also different mean testicular volume (P<0.01). In addition group D showed an abnormal morphology of spermiogram. The main complications found in follow-up were hydrocele (17,5%), varicocele (8,7%) and epididymal cysts (3.6%).
Conclusion: Monolateral cryptorchidism is associated with normal fertility when treated early (group A). Subjects in Group D, on the contrary, have a rise of FSH, a reduction of testicular volume and semen abnormalities. The long-term follow-up of these patients can also detect associated.

top of page

Publication History

Cite this article as

Corresponding author e-mail

chped.articles@gmail.com