Clinical efficacy of secondary operation for cryptorchidism: a clinical analysis of 53 boys

Yitian HUANG; Sheng WEN; Meng YANG; Xing LIU; Feng LIU; Deying ZHANG; Shengde WU; Yan SHI; Yuansong NI; Peiru HE; Zhicheng ZHANG; Yi HUA

doi:10.16016/j.1000-5404.202008227

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Clinical efficacy of secondary operation for cryptorchidism: a clinical analysis of 53 boys

Clinical Medicine | 更新时间：2026-01-09

- Clinical efficacy of secondary operation for cryptorchidism: a clinical analysis of 53 boys
- Journal of Third Military Medical University Vol. 43, Issue 3, Pages: 267-270(2021)
- 作者机构：
  
  400014 重庆，重庆医科大学附属儿童医院泌尿外科，儿童泌尿生殖发育与组织工程重点实验室
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.202008227
  CLC： R619;R726.972.2
- Received：31 August 2020，
  
  Revised：2020-10-17，
  
  Published：15 February 2021
- 稿件说明：
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Yitian HUANG, Sheng WEN, Meng YANG, et al. Clinical efficacy of secondary operation for cryptorchidism: a clinical analysis of 53 boys[J]. Journal of Third Military Medical University, 2021, 43(3): 267-270.
DOI：

Yitian HUANG, Sheng WEN, Meng YANG, et al. Clinical efficacy of secondary operation for cryptorchidism: a clinical analysis of 53 boys[J]. Journal of Third Military Medical University, 2021, 43(3): 267-270. DOI： 10.16016/j.1000-5404.202008227.

摘要

目的

探讨儿童隐睾症二次手术的必要性及其临床疗效。

方法

回顾性分析2012年1月至2020年4月本科接诊的53例首次隐睾术后睾丸未降至正常位置或术后复发的患儿病例资料，根据有无进行二次手术分为再手术组39例及观察组(未行二次手术，仅门诊随访)14例，随访时间(42.38±27.57)个月，最长随访8年。总结两组患儿随访过程中睾丸位置、有无并发症、恶变等指标。根据患儿年龄分为幼儿及青少年两个亚组，对比随访期睾丸的发育情况。

结果

再手术组患儿术后睾丸均降至阴囊内，术中发现30例鞘状突未闭，2例睾丸发生囊皮样改变。随访过程中1例出现睾丸血供减少，2例睾丸未再发育。观察组患儿中有2例睾丸位置发生变化，3例睾丸未再发育，1例出现血供减少。再手术组患儿睾丸发育情况优于观察组(

0.05)，所有患儿随访期间均无睾丸恶变。

结论

隐睾二次手术成功率高且术后睾丸发育情况优于仅观察随访的患儿，临床应积极实施。

Abstract

Objective

To explore the necessity and evaluate the curative effect of redo orchiopexy for cryptorchidism after failure of primary orchiopexy.

Methods

Clinical data of 53 children with undescended testis (46 cases of unilateral cryptorchidism and 7 cases of bilateral) after the first orchiopexy in our department from January 2012 to April 2020 were collected and analyzed retrospectively. According to undergoing secondary surgical treatment or not

the boys were divided into reoperation group (

=39) and observation group (

=14

only receiving follow-up in clinic). They were followed up for averagely 42.38±27.57 months

with 8 years for the longest. The testicular position

complications and malignant changes during the follow-up were summarized in the 2 groups. The development of the testis was evaluated and compared between the child and adolescent subgroups.

Results

In the reoperation group

all the testes decreased to the scrotum after operation. During the operation

30 cases had patent sheath process and 2 cases had cystic skin-like changes in the testis. In the follow-up

decreased testicular blood supply was found in 1 case and no testicular development in 2 cases. In the observation group

the position of testis changed in 2 cases

and the testis no longer developed in 3 cases

and decreased blood supply in 1 case. The testicular development was better in the reoperation group than the observation group (

0.05). There was no testicular malignant change during the follow-up period.

Conclusion

For the children with cryptorchidism whose testicular position did not decrease to normal after the primary operation

reoperation will obtain a higher success rate

and achieve better testicular development. Redo orchiopexy should be recommended.

关键词

Keywords

references

BERKOWITZ G S, LAPINSKI R H, DOLGIN S E, et al . Prevalence and natural history of cryptorchidism[J ] . Pediatrics, 1993, 92(1): 44-49. DOI:10.1203/00006450-199307000-00025.

ELDER J S. Surgical management of the undescended testis: recent advances and controversies[J]. Eur J Pediatr Surg, 2016, 26(5): 418-426. DOI:10.1055/s-0036-1592197.

臧洪学, 马威武, 邵敬会.隐睾再手术29例分析[J].中国误诊学杂志, 2011, 11(7): 1714.

ZANG H X, MA W W, SHAO J H. Reoperation of cryptorchidism: an analysis of 29 cases[J]. Chin J Misdiagnostics, 2011, 11(7): 1714.

郝春生, 叶辉, 李龙, 等.腹腔镜与开放手术在治疗隐睾术后睾丸下降不全的体会[J].中华小儿外科杂志, 2011, 32(7):554-555. DOI:10.3760/cma.j.issn.0253-3006.2011.07.020.

HAO C S, YE H, LI L, et al . Experience of laparoscopy and open surgery in the treatment of testicular insufficiency after orchiopexy[J ] .Chin J Pediatr Surg, 2011, 32(7): 554-555. DOI:10.3760/cma.j.issn.0253-3006.2011.07.020.

KARAMAN I, KARAMAN A, ERDOGˇAN D, et al . The transscrotal approach for recurrent and iatrogenic undescended testes[J ] . Eur J Pediatr Surg, 2010, 20(4): 267-269. DOI:10.1055/s-0030-1249048.

PALACIO M M, SFERCOA, GARCÍA FERNANNDEZ A E, et al . Inguinal cordopexy: a simple and effective new technique for securing the testes in reoperative orchiopexy[J ] . J Pediatr Surg, 1999, 34(3): 424-425. DOI:10.1016/s0022-3468(99)90491-8.

PESCE C, D'AGOSTINO S, COSTA L, et al . Reoperative orchiopexy: surgical aspects and functional outcome[J ] . Pediatr Surg Int, 2001, 17(1): 62-64. DOI:10.1007/s003830000454.

[易青洁.基于GAMLSS探讨重庆地区0~16岁男性阴茎及睾丸生长发育研究[D ] .重庆医科大学, 2017. DOI: 10.7666/d.D01260926 http://dx.doi.org/10.7666/d.D01260926 .

[YI Q J.Study on phallic and testicular development of male aged 0-16 years old in chongqing based on GAMLSS[D ] .Chongqing Medical University, 2017.DOI: 10.7666/d.D01260926 http://dx.doi.org/10.7666/d.D01260926 .

EIN S H, NASR A, WALES P W, et al . Testicular atrophy after attempted pediatric orchidopexy for true undescended testis[J ] . J Pediatr Surg, 2014, 49(2): 317-322. DOI:10.1016/j.jpedsurg.2013.11.048.

ONOL S Y, INAL H, AKBULUT H, et al . 393 Reoperative orchiopexy: Impact of the first surgery on outcome[J ] . Eur Urol Suppl, 2005, 4(3): 101. DOI:10.1016/s1569-9056(05)80399-9.

ZVIZDIC Z, MILISIC E, HALIMIC A, et al . Testicular volume and testicular atrophy index as predictors of functiona lity of unilaterally cryptorchid testis[J ] . Med Arch, 2014, 68(2): 79-82. DOI:10.5455/medarh.2014.68.79-82.

WOOD H M, ELDER J S. Cryptorchidism and testicular cancer: separating fact from fiction[J]. J Urol, 2009, 181(2): 452-461. DOI:10.1016/j.juro.2008.10.074.

CORTES D, THORUP J. Long-term follow-up after treatment of cryptorchidism[J]. Eur J Pediatr Surg, 2016, 26(5): 427-431. DOI:10.1055/s-0036-1592138.

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