Laparoscopic orchidopexy for the treatment of cryptorchidism in adults: a description of the technique and outcomes
Abstract Background There are few studies on cryptorchidism in adults, and its treatment is still controversial. Methods To summarize the surgical strategy and clinical efficacy of laparoscopic orchidopexy for the treatment of cryptorchidism in adults, 37 adult cryptorchidism patients were retrospec...
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Urology |
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| Online Access: | https://doi.org/10.1186/s12894-023-01386-4 |
| _version_ | 1797362829128368128 |
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| author | Hu Han Jiaxing Li Hong-en Lei Hang Yin Long Tian |
| author_facet | Hu Han Jiaxing Li Hong-en Lei Hang Yin Long Tian |
| author_sort | Hu Han |
| collection | DOAJ |
| description | Abstract Background There are few studies on cryptorchidism in adults, and its treatment is still controversial. Methods To summarize the surgical strategy and clinical efficacy of laparoscopic orchidopexy for the treatment of cryptorchidism in adults, 37 adult cryptorchidism patients were retrospectively analyzed between September 2017 and February 2022. All 37 patients underwent laparoscopic orchidopexy, of whom 33 underwent inguinal hernia repair without tension. The intraoperative procedures and surgical techniques were recorded in detail. Preoperative examination and regular postoperative review of color Doppler ultrasound, and reproductive hormone, alpha-fetoprotein, human chorionic gonadotropin, and lactate dehydrogenase levels were performed. Results All testes descended successfully into the scrotum, including 25 through the inguinal route and 12 through Hesselbach’s triangle route. No intraoperative or postoperative complications were observed. The follow-up time was 38.6 (± 19.4) months, and no evidence of testicular malignancy was found during the follow-up period. After analyzing the reproductive hormone levels at 1 year postoperatively in 28 patients with more than 1 year of follow-up, it was found that the patients had a significant increase in testosterone levels and a decrease in follicle-stimulating hormone levels after surgery. None of the patients showed any significant improvement in semen quality after surgery. Conclusion Our study suggests that laparoscopic orchidopexy is a safe and feasible surgical procedure for the treatment of cryptorchidism in adults, especially high cryptorchidism, which is difficult to treat. After comprehensive consideration, preserving the testis should be preferred for treating cryptorchidism in adults to maximize the protection of the patient’s reproductive hormone secretion function. |
| first_indexed | 2024-03-08T16:13:01Z |
| format | Article |
| id | doaj.art-1787633ebe4a49d7ae4c73c3103ec6c2 |
| institution | Directory Open Access Journal |
| issn | 1471-2490 |
| language | English |
| last_indexed | 2024-03-08T16:13:01Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Urology |
| spelling | doaj.art-1787633ebe4a49d7ae4c73c3103ec6c22024-01-07T12:48:49ZengBMCBMC Urology1471-24902024-01-012411710.1186/s12894-023-01386-4Laparoscopic orchidopexy for the treatment of cryptorchidism in adults: a description of the technique and outcomesHu Han0Jiaxing Li1Hong-en Lei2Hang Yin3Long Tian4Department of Urology, Beijing Chao-Yang Hospital, Capital Medical UniversityDepartment of Urology, Beijing Chao-Yang Hospital, Capital Medical UniversityDepartment of Urology, Beijing Chao-Yang Hospital, Capital Medical UniversityDepartment of Urology, Beijing Chao-Yang Hospital, Capital Medical UniversityDepartment of Urology, Beijing Chao-Yang Hospital, Capital Medical UniversityAbstract Background There are few studies on cryptorchidism in adults, and its treatment is still controversial. Methods To summarize the surgical strategy and clinical efficacy of laparoscopic orchidopexy for the treatment of cryptorchidism in adults, 37 adult cryptorchidism patients were retrospectively analyzed between September 2017 and February 2022. All 37 patients underwent laparoscopic orchidopexy, of whom 33 underwent inguinal hernia repair without tension. The intraoperative procedures and surgical techniques were recorded in detail. Preoperative examination and regular postoperative review of color Doppler ultrasound, and reproductive hormone, alpha-fetoprotein, human chorionic gonadotropin, and lactate dehydrogenase levels were performed. Results All testes descended successfully into the scrotum, including 25 through the inguinal route and 12 through Hesselbach’s triangle route. No intraoperative or postoperative complications were observed. The follow-up time was 38.6 (± 19.4) months, and no evidence of testicular malignancy was found during the follow-up period. After analyzing the reproductive hormone levels at 1 year postoperatively in 28 patients with more than 1 year of follow-up, it was found that the patients had a significant increase in testosterone levels and a decrease in follicle-stimulating hormone levels after surgery. None of the patients showed any significant improvement in semen quality after surgery. Conclusion Our study suggests that laparoscopic orchidopexy is a safe and feasible surgical procedure for the treatment of cryptorchidism in adults, especially high cryptorchidism, which is difficult to treat. After comprehensive consideration, preserving the testis should be preferred for treating cryptorchidism in adults to maximize the protection of the patient’s reproductive hormone secretion function.https://doi.org/10.1186/s12894-023-01386-4Cryptorchidism in adultsLaparoscopic orchidopexyReproductive hormonesTension-free hernia repair |
| spellingShingle | Hu Han Jiaxing Li Hong-en Lei Hang Yin Long Tian Laparoscopic orchidopexy for the treatment of cryptorchidism in adults: a description of the technique and outcomes BMC Urology Cryptorchidism in adults Laparoscopic orchidopexy Reproductive hormones Tension-free hernia repair |
| title | Laparoscopic orchidopexy for the treatment of cryptorchidism in adults: a description of the technique and outcomes |
| title_full | Laparoscopic orchidopexy for the treatment of cryptorchidism in adults: a description of the technique and outcomes |
| title_fullStr | Laparoscopic orchidopexy for the treatment of cryptorchidism in adults: a description of the technique and outcomes |
| title_full_unstemmed | Laparoscopic orchidopexy for the treatment of cryptorchidism in adults: a description of the technique and outcomes |
| title_short | Laparoscopic orchidopexy for the treatment of cryptorchidism in adults: a description of the technique and outcomes |
| title_sort | laparoscopic orchidopexy for the treatment of cryptorchidism in adults a description of the technique and outcomes |
| topic | Cryptorchidism in adults Laparoscopic orchidopexy Reproductive hormones Tension-free hernia repair |
| url | https://doi.org/10.1186/s12894-023-01386-4 |
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