Inan Mustafa, Aydiner Cagatay Yalcin, Tokuc Burcu, Aksu Burhan, Ayhan Sinan, Ayvaz Suleyman, Ceylan Turan
Department of Pediatric Surgery, Faculty of Medicine, Edirne, Turkey.
Urol Int. 2008;80(2):166-71. doi: 10.1159/000112608. Epub 2008 Mar 19.
The aim of this study was to determine the prevalence of cryptorchidism, retractile testis and orchiopexy and investigate the effects of these clinical conditions on testicular volume among schoolchildren aged 7-12 years.
It was a cross-sectional and descriptive study. The participants were stratified by school population and age and 1,800 questionnaires were distributed. The inguino-scrotal examinations and the testicular volumes of the children were recorded.
The parents of 1,500 children agreed to allow their children to be examined. The prevalence of cryptorchidism and orchiopexy was found to be 0.73 and 1.3%, respectively. Retractile testis was found in 3.9% of the children. The mean testicular volume of children having retractile testis (1.82 +/- 1.41 ml) was less than the ones who do not (2.38 +/- 1.40 ml, p < 0.05). The prevalence was 1.7%, and 4% in the participants who had inguinal hernia also had hernioplasty.
The prevalence of cryptorchidism and the mean age of orchidopexy are high among schoolchildren aged 7-12. Retractile testis might have some negative effects on the development of testicular volume in children. Parents and healthcare and education professionals should give special attention to inguino-scrotal diseases.
本研究旨在确定隐睾症、回缩性睾丸及睾丸固定术的患病率,并调查这些临床情况对7至12岁学龄儿童睾丸体积的影响。
这是一项横断面描述性研究。参与者按学校人群和年龄分层,共发放1800份问卷。记录儿童的腹股沟阴囊检查情况及睾丸体积。
1500名儿童的家长同意其子女接受检查。发现隐睾症和睾丸固定术的患病率分别为0.73%和1.3%。3.9%的儿童存在回缩性睾丸。有回缩性睾丸的儿童平均睾丸体积(1.82±1.41毫升)小于无回缩性睾丸的儿童(2.38±1.40毫升,p<0.05)。在患有腹股沟疝的参与者中,疝修补术的患病率为1.7%,4%。
7至12岁学龄儿童中隐睾症的患病率及睾丸固定术的平均年龄较高。回缩性睾丸可能对儿童睾丸体积的发育有一些负面影响。家长以及医疗和教育专业人员应特别关注腹股沟阴囊疾病。