Hazebroek F W, Molenaar J C
Department of Pediatric Surgery, Sophia Children's Hospital, Rotterdam, The Netherlands.
J Urol. 1992 Aug;148(2 Pt 2):629-31. doi: 10.1016/s0022-5347(17)36674-0.
We evaluated 68 prepubertal boys with 84 impalpable testes who were operated upon without using any other diagnostic maneuvers. Of the testes 18 (22%) were absent (anorchism or 'vanished') and 38 (45%) could be placed in a scrotal position with standard orchiopexy. A staged, Fowler-Stephens or microvascular procedure was required for 28 testes (33%), involving orchiectomy in 2 cases, and succeeded in a scrotal position for another 24 testes. In 1 boy 2 testes were fixed outside the inguinal canal. Reexamination after 3 to 9 years showed that 42 of 55 operated testes (76%) were in scrotal position without atrophy, 10 had atrophied and 3 were removed at the second stage operation. We conclude that an exclusive surgical approach has the advantage of providing diagnosis and therapy, and, therefore, it is an effective method.
我们评估了68名青春期前睾丸未触及的男孩，他们在未使用任何其他诊断手段的情况下接受了手术。在这些睾丸中，18个（22%）缺失（无睾症或“消失”），38个（45%）可通过标准睾丸固定术置于阴囊位置。28个睾丸（33%）需要进行分期的Fowler-Stephens手术或微血管手术，其中2例涉及睾丸切除术，另外24个睾丸成功置于阴囊位置。1名男孩的2个睾丸固定在腹股沟管外。3至9年后复查显示，55个接受手术的睾丸中有42个（76%）位于阴囊位置且无萎缩，10个萎缩，3个在二期手术中被切除。我们得出结论，单纯手术方法具有提供诊断和治疗的优势，因此是一种有效的方法。
