Niedzielski Jerzy, Nowak Maciej, Kucharski Piotr, Marchlewska Katarzyna, Słowikowska-Hilczer Jolanta
University Pediatric Centre, Department of Pediatric Surgery and Urology, Medical University of Lodz, 90-647 Lodz, Poland.
Post-Graduate Intern, Department of Pediatric Surgery and Urology, Medical University of Lodz, 90-647 Lodz, Poland.
J Clin Med. 2022 May 26;11(11):3015. doi: 10.3390/jcm11113015.
The goal of this study was to determine the prevalence of the testicular, epididymal, and vasal anomalies (TEVA) in cryptorchid and communicating hydrocele pediatric patients. Six hundred and ninety-one prepubertal boys underwent inguinal exploration for 741 undescended (UDT) or hydrocele testes. Two hundred and fifty-five TEVA were detected in 154 UDT boys, compared to 32 defects in 24 hydrocele patients (p < 0.001). The TEVA were more frequent in bilateral UDT (p = 0.009). Multiple defects were observed more frequently in the intra-abdominal testicles (p = 0.028). A correlation was found between the testicular atrophy index (TAI) and the incidence and number of TEVA in the UDT boys (p < 0.001). The smaller the testis (higher TAI), the more the defects that appeared in it and the higher the frequency of their appearance. Another correlation was established between testis position and the incidence and number of TEVA (p < 0.001). The higher the testis position, the more the defects that appeared in it and the higher the frequency of their appearance. A correlation was established between the position and the volume of the affected testis (p < 0.001). The higher the gonad position, the more severe the atrophy observed in it. The TEVA were more frequent in the UDT boys than in the hydrocele patients. We revealed that the risk of abnormal fusion between the testis, epididymis, and vas deferens is connected with the testis position (intra-abdominal testes) and bilateral non-descent.
本研究的目的是确定隐睾和交通性鞘膜积液小儿患者中睾丸、附睾和输精管异常（TEVA）的患病率。691名青春期前男孩因741例睾丸未降（UDT）或鞘膜积液接受了腹股沟探查。在154例UDT男孩中检测到255例TEVA，相比之下，24例鞘膜积液患者中有32例缺陷（p<0.001）。TEVA在双侧UDT中更常见（p=0.009）。在腹内睾丸中更频繁地观察到多种缺陷（p=0.028）。在UDT男孩中发现睾丸萎缩指数（TAI）与TEVA的发生率和数量之间存在相关性（p<0.001）。睾丸越小（TAI越高），其中出现的缺陷越多，其出现频率越高。在睾丸位置与TEVA的发生率和数量之间建立了另一种相关性（p<0.001）。睾丸位置越高，其中出现的缺陷越多，其出现频率越高。在受影响睾丸的位置和体积之间建立了相关性（p<0.001）。性腺位置越高，其中观察到的萎缩越严重。TEVA在UDT男孩中比在鞘膜积液患者中更常见。我们发现睾丸、附睾和输精管之间异常融合的风险与睾丸位置（腹内睾丸）和双侧未降有关。
