• 검색 결과가 없습니다.

비촉지성 정류고환: 97례의 수술경험

N/A
N/A
Info
다운로드
Protected

Academic year: 2021

Share "비촉지성 정류고환: 97례의 수술경험"

Copied!
5
0
0

로드 중.... (전체 텍스트 보기)

전체 글

(1)

: 97

Impalpable Testes: An Experience of 97 Surgically Corrected Cases

Dong Hyoung Lee, Kwang Sae Kim

From the Department of Urology, Keimyung University, School of Medicine, Daegu, Korea

Purpose: We analyzed our experience of surgically corrected impalpable testes to eval- uate our results and to determine the best possible surgical approach for impalpable testes.

Materials and Methods: Medical records of 97 boys who had undergone surgery for impalpable testes were reviewed with respect to the age at presentation, localization procedure, surgical approach, testicular location and volume. Minimal follow-up was 6 months.

Results: The average age at presentation was 47.7 months. Surgical locations of testes included preperitoneum in 46 testes, intraabdomen in 18 testes and inguinal canal in 1 testis. Fifty-three testes were absent at exploration. Surgical procedures consisted of 59 orchiopexies, 53 excision of blind-ended spermatic vessel and 6 orchiectomies.

The average volume of abdominal testes was reduced to 44.0% of contralateral normally descended testicular volume. Compensatory hypertrophies were seen in 45 contralateral testes among 53 unilateral absent testes. The inguinal exploration was successful in defining the location of all the testes in the last 41 consecutive boys.

Laparoscopy did not help to avoid surgical exploration. Of 38 impalpable testes at office examination, 18 testes turned out to be palpable when examined under anesthesia while ultrasonography detected 14 testes with 1 false positive finding. Of 51 regular orchiopexies 49 testes showed excellent or acceptable results. Of 8 Fowler-Stephens orchiopexies 3 testes resulted in atrophies.

Conclusions: Most pexed impalpable testes showed successful results in terms of testicular position and growth. However, there were more testicular atrophies in cases whose spermatic vessels were ligated. Inguinal exploration with or without intraperi- toneal extension was successful in the management of impalpable testes in this series.

(Korean J Urol 2001; 42:1180-1184)

Key Words: Orchiopexy, Inguinal approach, Testis, Laparoscopy, Cryptorchism

(2)

↑ ↑

(3)
(4)
(5)

참조

지금 다운로드하기 ( PDF - 5 페이지 - 248.89 KB )

관련 문서

효과와 안전성

Methods: I conducted a retrospective analysis of clinical records of children aged between 4 and 19 years who were treated with flunarizine for headache at

3 -D 디지털 모델에서 교합간 기록의 정확도에 관한 연구

Occlusal contact patterns of digitalized casts articulated with six interocclusal records were compared to the occlusal contact of accurately articulated

저작자표시

The students of Gwangju Secondary School had to compete with the students of Gwangju Intermediate School, who were Japanese nationals for access to a

저작자표시

Objective : This study is to identify factors related to performance of hand washing in daily life for emergency Medical Technology students.. Methods : The study subjects

저작자표시

Patient had laparoscopic surgery on the adnexal tumor and excised tissue was removed through Douglas pouch incision by single surgeon.. Results: The mean age

저작자표시

Therefore, this study investigates and analyzes the perception, life satisfaction and personality of taekwondo classes for high school boys and girls with

저작자표시

Methods: We conducted a retrospective analysis of clinical records of obese children who visited to Chosun university hospital between January 2013 and February 2014 due to

工學 學 學 學博 博 博 博士 士 士 士 學 學 學 學位 位 位 位論 論 論文 論 文 文 文

In this study, The author reviewed the developing procedure for the technique of the naval ships structures considering survivability and described the