Pattern of testicular biopies as seen in a tertiary institution in Nnewi, Southeast Nigeria

Background: Testicular biopsy is an acknowledged method of examination of the testes for diagnostic and therapeutic purposes. We describe the pattern of testicular histologies in our environment. Materials and Methods: We carried out a retrospective review of testicular histology results from the Pa...

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Main Authors: Chidi-Kingsley Oranusi, Igwebuike V Onyiaorah, Cornelius O Ukah
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Nigerian Journal of Surgery
Subjects:
Online Access:http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2014;volume=20;issue=2;spage=55;epage=58;aulast=Oranusi
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author Chidi-Kingsley Oranusi
Igwebuike V Onyiaorah
Cornelius O Ukah
author_facet Chidi-Kingsley Oranusi
Igwebuike V Onyiaorah
Cornelius O Ukah
author_sort Chidi-Kingsley Oranusi
collection DOAJ
description Background: Testicular biopsy is an acknowledged method of examination of the testes for diagnostic and therapeutic purposes. We describe the pattern of testicular histologies in our environment. Materials and Methods: We carried out a retrospective review of testicular histology results from the Pathology Department of Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, over a 5-year period, January 2008 to December 2012. Results: During the period, 285 testicular histologies were reported. Eighty-one (28.4%) specimens were pathological specimens, while 204 (71.6%) were nonpathological specimens. Thirty-seven (13.0%) of the histology reports were for diagnostic purpose while 248 (87.0%) were for therapeutic purpose. Based on the results, indications could also be categorized into three, benign testicular pathology, malignant testicular pathology, and testicular biopsy for male factor infertility. Thirty-seven cases (13.0%) were due to male factor infertility with complete spermatogenic arrest as the most common histological finding in 21 (56.8%) of the cases. Malignant testicular diseases accounted for 16 (5.6%) of the indications for testicular biopsies. Benign testicular diseases accounted for 28 (9.8%) of the indications for testicular biopsies. Hemorrhagic infarction from testicular torsion represented the commonest histology in 12 (42.9%) cases, followed by inflammations of the testes. Conclusion: Indications for testicular biopsy can be diagnostic and therapeutic. They can also be categorized into benign testicular diseases, malignant testicular diseases, and male infertility. Investigation for male factor infertility was the only diagnostic indication for testicular biopsy. The high incidence of locally and metastatic prostate cancer in males explains why therapeutic removal of the testis is common.
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spelling doaj.art-0fbce2e371d64dcc8bbffdfca57abc392022-12-22T03:52:32ZengWolters Kluwer Medknow PublicationsNigerian Journal of Surgery1117-68062278-71002014-01-01202555810.4103/1117-6806.137283Pattern of testicular biopies as seen in a tertiary institution in Nnewi, Southeast NigeriaChidi-Kingsley OranusiIgwebuike V OnyiaorahCornelius O UkahBackground: Testicular biopsy is an acknowledged method of examination of the testes for diagnostic and therapeutic purposes. We describe the pattern of testicular histologies in our environment. Materials and Methods: We carried out a retrospective review of testicular histology results from the Pathology Department of Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, over a 5-year period, January 2008 to December 2012. Results: During the period, 285 testicular histologies were reported. Eighty-one (28.4%) specimens were pathological specimens, while 204 (71.6%) were nonpathological specimens. Thirty-seven (13.0%) of the histology reports were for diagnostic purpose while 248 (87.0%) were for therapeutic purpose. Based on the results, indications could also be categorized into three, benign testicular pathology, malignant testicular pathology, and testicular biopsy for male factor infertility. Thirty-seven cases (13.0%) were due to male factor infertility with complete spermatogenic arrest as the most common histological finding in 21 (56.8%) of the cases. Malignant testicular diseases accounted for 16 (5.6%) of the indications for testicular biopsies. Benign testicular diseases accounted for 28 (9.8%) of the indications for testicular biopsies. Hemorrhagic infarction from testicular torsion represented the commonest histology in 12 (42.9%) cases, followed by inflammations of the testes. Conclusion: Indications for testicular biopsy can be diagnostic and therapeutic. They can also be categorized into benign testicular diseases, malignant testicular diseases, and male infertility. Investigation for male factor infertility was the only diagnostic indication for testicular biopsy. The high incidence of locally and metastatic prostate cancer in males explains why therapeutic removal of the testis is common.http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2014;volume=20;issue=2;spage=55;epage=58;aulast=OranusiBiopsyhistologytestis
spellingShingle Chidi-Kingsley Oranusi
Igwebuike V Onyiaorah
Cornelius O Ukah
Pattern of testicular biopies as seen in a tertiary institution in Nnewi, Southeast Nigeria
Nigerian Journal of Surgery
Biopsy
histology
testis
title Pattern of testicular biopies as seen in a tertiary institution in Nnewi, Southeast Nigeria
title_full Pattern of testicular biopies as seen in a tertiary institution in Nnewi, Southeast Nigeria
title_fullStr Pattern of testicular biopies as seen in a tertiary institution in Nnewi, Southeast Nigeria
title_full_unstemmed Pattern of testicular biopies as seen in a tertiary institution in Nnewi, Southeast Nigeria
title_short Pattern of testicular biopies as seen in a tertiary institution in Nnewi, Southeast Nigeria
title_sort pattern of testicular biopies as seen in a tertiary institution in nnewi southeast nigeria
topic Biopsy
histology
testis
url http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2014;volume=20;issue=2;spage=55;epage=58;aulast=Oranusi
work_keys_str_mv AT chidikingsleyoranusi patternoftesticularbiopiesasseeninatertiaryinstitutioninnnewisoutheastnigeria
AT igwebuikevonyiaorah patternoftesticularbiopiesasseeninatertiaryinstitutioninnnewisoutheastnigeria
AT corneliusoukah patternoftesticularbiopiesasseeninatertiaryinstitutioninnnewisoutheastnigeria