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Urology. 2011 Oct;78(4):886-9. doi: 10.1016/j.urology.2011.04.057. Epub 2011 Jul 18.

Testicular catch up growth: the impact of orchiopexy age.

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1
Department of Urology, Chonnam National University Medical School, Gwangju, Korea.

Abstract

OBJECTIVE:

To compare the long-term follow-up growth of congenital, unilaterally palpable, undescended testes after orchiopexy according to age at the time of surgery. The optimal age for surgical treatment remains controversial.

MATERIALS AND METHODS:

A total of 86 patients (108 testes) between the ages of 1 and 9 years underwent orchiopexy. Patients were divided according to age at the time of surgery: group I, <2 years (n = 43); group II, 2 ≤ age < 5 years (n = 35); and group III, ≥5 years (n = 30). The boys were then followed for more than 2 years after surgery. Ultrasonography was used for determination of testicular volume. Testicular volume percentage was compared by the equation of (operated testis volume/normal testis volume × 100%).

RESULTS:

Testicular location was the inguinal canal in 92 (85.2%) and lower to the external inguinal ring in 16 (14.8%). Only group I, which received orchiopexy within two years from birth, showed significant recovery of testicular volume at follow-up (P <.05), compared with groups II and III.

CONCLUSIONS:

Orchiopexy performed at less than 2 years from birth was a significant factor for recovery of delayed cryptorchid testicular growth. This result suggests that early orchiopexy improves subsequent testicular catch-up growth.

PMID:
21762966
DOI:
10.1016/j.urology.2011.04.057
[Indexed for MEDLINE]

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