No abstract available.
Orchiopexy* ; Testis*

Traumatic dislocation of the testis is an unusual disorder and is characterized by an ectopically displaced testis as the result of closed injury. We report on 2 patients inguinal dislocation of the testis that was treated by orchiopexy, with brief of literatures.
Dislocations* ; Humans ; Orchiopexy ; Testis*

The authors outline the method of orchiopexy and report the results of orchiopexy performed on 79 cases (113 testes) of cryptorchism. A. Method of orchiopexy 1) In inguinal oblique skin incision, while noting frequent keloid formation, no keloid formation was noted as the lower abdominal transverse incision. 2) It was easy to descend testes to the base of the scrotal sac by performing orchidofuniculolysis sufficiently. 3) Of the several methods of orchiopexy, dartos pouch method was most ideal. B. Operative results on the 79 cases (113 testes) of cryptorchism are as follows. 1) Of the 113 testes, there were noted sufficient descent to the scrotal base in 108 testes, and somewhat insufficient descent in 5 testes. 2) In the consideration that 5 case of unsufficient descent in the group of type IV which was not detectable on manual palpation, sufficient orchidofuniculolysis should be carried out preoperatively regarding difficulties in sufficient descent. C. While operation time of cryptorchism being 4-5 years old as a rule, 25% or so are performed at 1-5 years old in authors' cases. So more active instruction should be considered.
Cryptorchidism ; Keloid ; Male ; Orchiopexy* ; Palpation ; Skin ; Testis

Crossed testicular ectopia is an uncommon anatomical abnormality in which both gonads migrate toward the same hemiscrotum. We report a case of crossed testicular ectopia associated with bilateral cryptorchism. The crossed ectopic and intra-abdominal testis was fixed in it's own hemiscrotum by laparoscopic orchiopexy.
Cryptorchidism* ; Gonads ; Humans ; Laparoscopy ; Male ; Orchiopexy ; Testis

Herein, polyorchidism possessing of more than the usual number of testicles, which was found in two patients, is reported. Both patients had three testes, and one presented with painful swelling of the right scrotum caused by torsion of the testis and the other revealed a non-palpable testis in the right hemiscrotum. Both patients were managed surgically with orchiopexy and an orchiectomy, respectively, followed by the insertion of an artificial testis.
Humans ; Orchiectomy ; Orchiopexy ; Scrotum ; Testis ; Urogenital Abnormalities

A clinical study was made on 47 cases of undescended testes during 9 years, from March 1973 to February 1982. The results obtained as follows: 1. The age distribution varies from 3 to 35 and 12 cases (26%) were between 21-25 years old. 2. Bilateral undescended testes were found in 8 cases, and in the cases of unilateral, right in 27 cases and left in 12 cases. 3. Of the 57 undescended testes, most popular location was inguinal type in 31 testes. (56.4%). 4. Hormonal therapy was done on 11 cases and among them only 2 cases of unilateral type responded with partial descent. 5. Orchiopexy was performed on 45 cases and orchiectomy on 2 cases. 6. Of the several methods of orchiopexy, dartos pouch method revealed high success rate (91%).
Age Distribution ; Cryptorchidism* ; Male ; Orchiectomy ; Orchiopexy ; Testis

Traumatic dislocation of the testis occurs when a normally distended testis assumes, as a result of trauma, a non-scrotal position by passing along fascial plane and through normal anatomic aperture. Less than 50 cases of true traumatic dislocation have been reported. The etiology, classification and treatment of testicular luxation are reviewed briefly. If efforts at closed reduction are unsuccessful, management requires surgical exploration and orchiopexy. The prognosis for recovered or fertility potential after this repair of dislocation of the testis is good. We report the case that one testis has traumatic dislocation with a ruptured vas deferens and the other has a primary spermatogenic defect.
Classification ; Dislocations* ; Fertility ; Orchiopexy ; Prognosis ; Testis* ; Vas Deferens

We performed one-stage microsurgical phalloplasty on a 17-year-old male-pseudohermaphroditism patient after bilateral orchiopexy and urethroplasty, using the free radial forearm osteocutaneous sensory flap. The main advantages of this technique are not only the one-stage reconstruction and the satisfactory cosmetic and functional solution, but also the possibility of obtaining normal erogenous and tactile sensibility. One week after the operation, the urethrocutaneous fistula was developed between the native proximal urethra and the constructed neourethra, but seven weeks after the development, it spontaneously healed well. The results of our S-month follow-up are satisfactory in the following respects : 1) satisfactory cosmetic appearance 2) voluntary control of transurethral urination while standing 3) tactile and thermal sensibility. Further follow-up study is necessary for the confirmation of erogenous sensibility, successful sexual life and late complication.
Adolescent ; Fistula ; Follow-Up Studies ; Forearm* ; Humans ; Orchiopexy ; Urethra ; Urination

PURPOSE: Although retractile testes are frequently found in the pediatric population, there are controversies in the management of retractile testes. We investigated the necessity of treatment for retractile testes by analyzing their histologic findings. MATERIALS AND METHODS: Sixty-one testicular biopsies were performed during orchiopexy from 36 boys(range: 1.3-12.9 years, mean: 5.4 years) with retractile testes(11 unilateral, 50 bilateral) and 115 testicular biopsies from 83 cryptorchid patients(range: 0.6-15.0 years, mean: 3.7 years, 51 unilateral, 64 bilateral). Parameters for both Sertoli cell and germ cell were determined in each group. RESULTS: The average tubular degeneration phase(TDP) V-VII were 0.23+/-0.18 for retractile testes and 0.22+/-0.17 for cryptorchid testes and were not statistically different. Both the average sertoli cell index(SCI) and mean spermatogonia per tubules(S/T) value were statistically different between retractile and cryptrochid testes with values of 26.81+/-6.75, 23.04+/-5.85(p<0.01) and 2.96+/-1.33, 0.61+/-0.87(p<0.01), respectively. CONCLUSIONS: Although S/T value of retractile testes was higher than that of cryptorchid testes, Sertoli cell degenerative patterns were similar. These findings might indicate that retractile testis needs treatment like cryptorchid testis does. However, further investigation is warranted to elucidate whether these changes are normal variations since changes are observed in both Sertoli & germ cells in normal boys as they are aging.
Aging ; Biopsy ; Germ Cells ; Orchiopexy ; Pathology ; Spermatogonia ; Testis*

BACKGROUND: If the corrections of the cryptorchid testes are delayed, it may lead the patients to suffer loss of testes or fertility. So we purposed to analyze the present status of correction and the causes of delay and tried to emphasize the needs to educate and inform the ideal age for correction. METHODS: Total 363 cryptorchid patients who visited our hospital in 10 years from January 1987 to December 1996 were divided into 3 groups according to their ages at visit as under 2, 3 to 5 and over 6 years groups. We analyzed the operative findings of the 3 groups, compared the ratio of the over 6 group during the half ten years till 1991 to the same ratio after 1992 and also analyzed the causes of delay in 81 patients for whom the causes of delay could be identified in over 6 years group. RESULTS: The age distributions showed 88 patients(24.2%) of under 2 years group, 118 patients(32.5%) of 3 to 5 years group and 157 patients(43.3%) of over 6 years group. When we compare the former 5 years till 1991 to the latter 5 years after 1992, the number of the patients who underwent orchiopexy under the age of 2 were increased from 34 (19.1%) to 54(29.2%) and those over the age of 6 were decreased from 88(49.4%) to 69 (37.3%) but still in higher proportion. The intraoperative findings showed that the rate of atropic or smaller testes than normal size in over 6 years group(128 testes, 73.1%) were higher than those of under 2 years(10 testes, 9.8%) and 3 to 5 years group(28 testes, 20.2 %). The most common causes of delay in over 6 years group was recommendation by relatives or neighbors(36 patients, 48.1%) and the remainders were advices of doctors other than urologists(27 patients, 33.3%), poor economic status(8 patients, 9.9%) and unawareness of the anomaly(7 patients, 8.6%). CONCLUSIONS: To prevent the loss of testicular function or testis itself in patient with cryptorchidism, the early correction should be performed because the recommended age for the correction tends to be decreased. The public information for the recommended age should be provided and also educational programs for the primary physicians are supposed to be performed.
Age Distribution ; Cryptorchidism ; Fertility ; Humans ; Male ; Orchiopexy ; Testis