Pediatric Surgical Center of Amsterdam, Amsterdam, The Netherlands.
J Pediatr Surg. 2013 Dec;48(12):2540-4. doi: 10.1016/j.jpedsurg.2013.06.016.
The purpose of the study is to study the natural course of undescended testes after inguinoscrotal surgery.
From 2003-2010, 24 boys were observed with 26 undescended testes after inguinoscrotal surgery; 12 had previously undergone inguinal hernia repair and 12 orchidopexy. Spontaneous descent was awaited and (re-)orchidopexy would only be performed in case of non-descent at puberty. The boys were assessed annually for testis position and for testis volume as measured by ultrasound.
At the end of the study period, 19 testes had reached scrotal position; of these, 13 (68%) had descended spontaneously and 6 (32%) had been (re-)orchidopexied. No difference was found in the rate of spontaneous descent after previous orchidopexy or inguinal hernia repair (P=0.419).
Spontaneous descent of undescended testes after inguinoscrotal surgery occurs regularly. In this study, it was observed in two out of every three cases.
本研究旨在探讨隐睾症经腹股沟阴囊手术后睾丸的自然下降过程。
2003 年至 2010 年，观察了 24 名男孩的 26 个隐睾症经腹股沟阴囊手术后的睾丸情况；其中 12 例曾行腹股沟疝修补术，12 例行睾丸固定术。等待睾丸自行下降，如果青春期后仍未下降，则进行睾丸固定术。每年对睾丸位置和超声测量的睾丸体积进行评估。
研究结束时，19 个睾丸已降至阴囊位置；其中 13 个（68%）自行下降，6 个（32%）进行了（再）睾丸固定术。先前行睾丸固定术或腹股沟疝修补术后睾丸自行下降的发生率无差异（P=0.419）。
隐睾症经腹股沟阴囊手术后睾丸可自行下降，本研究中，每 3 例中有 2 例出现了这种情况。
