Corbally M T, Quinn F J, Guiney E J
Department of Paediatric Surgery, Our Lady's Hospital for Sick Children, Dublin, Ireland.
Br J Urol. 1993 Sep;72(3):376-8. doi: 10.1111/j.1464-410x.1993.tb00737.x.
Testicular growth was measured in 33 males who had undergone 2 orchiopexies on the developing testis. Multiple surgery on the abdominal or canalicular testis was associated with a high rate of testicular atrophy (40%) and a 46% decrease in testicular volume. A similar decrease (43%) in testicular volume was noted in those patients with an infracanalicular testis but no testis atrophied in this group. The results suggest that primary orchiectomy be considered in the high testis provided the contralateral testis is normal, or alternatively a Fowler-Stephens or microvascular transplant if it is not. Patients with an infracanalicular testis may undergo a careful second-stage orchiopexy. All patients with retarded testicular growth should perform routine self-examination.
对33名曾对发育中的睾丸进行过两次睾丸固定术的男性进行了睾丸生长情况测量。对腹腔内或腹股沟管内睾丸进行多次手术，会导致较高的睾丸萎缩率（40%），睾丸体积减少46%。在那些睾丸位于腹股沟管下段的患者中，也观察到睾丸体积有类似程度的减少（43%），但该组中没有睾丸萎缩的情况。结果表明，如果对侧睾丸正常，对于高位睾丸可考虑进行一期睾丸切除术；如果对侧睾丸不正常，则可选择福勒 - 斯蒂芬斯手术或微血管移植术。睾丸位于腹股沟管下段的患者可谨慎地进行二期睾丸固定术。所有睾丸生长发育迟缓的患者都应进行常规的自我检查。
