35. THE SURGICAL OUTCOMES OF TREATING CRYPTORCHIDISM IN INFANTS AT THAI NGUYEN CENTRAL HOSPITAL
Main Article Content
Abstract
Objective: To describe the clinical characteristics, ultrasound imaging, and surgical outcomes of cryptorchidism in the inguinal canal in children at Thai Nguyen Central Hospital. Subjects and
Methods: We conducted a study on 85 patients who underwent surgery, involving 102 testes descended to the scrotum, from January 2020 to March 2024 at the Pediatric Surgery Department of Thai Nguyen Central Hospital.
Results: The average age of surgery was 3.64 ± 2.828 years, with the youngest being 1 and the oldest 12. The most common age group was 1- ≤5 years, accounting for 82.3%. Ultrasound detected 100% of the cases of undescended testes in the inguinal canal, with the most common location being in the inguinal canal (52.94%). All patients underwent open surgery to lower the undescended testes into the scrotum. The average surgery duration was 40.24 ± 6.326 minutes, and the average postoperative recovery time was 3.4353±1.051 days. Post-surgery, 82.4% of testes were positioned in the scrotum, while 17.6% were at the base of the penis. The TAI improved after surgery compared to pre-surgery levels.
Conclusion: Surgery for undescended testes in the inguinal canal is safe and yields good treatment outcomes.
Article Details
Keywords
Cryptorchidism, orchidopexy
References
[2] Sondermann M, Menzel V, Borkowetz A, Baunacke M, Huber J, Eisenmenger N, et al. Treatment trends for undescended testis and impact of guideline changes a medical health care analysis of orchidopexy and cryptorchidism in Germany between 2006 und 2020. World journal of urology. 2024;42(1):386.
[3] Fedder J, Boesen M. Effect of a combined GnRH/hCG therapy in boys with undescended testicles: evaluated in relation to testicular localization within the first week after birth. Archives of andrology. 1998;40(3):181-6.
[4] Ma YL, Wang TX, Feng L, Hu CB, Sun JS, Zhang CF, et al. Diagnoses and Treatment of Acquired Undescended Testes: A Review. Medicine. 2024;103(27):e38812.
[5] Taha M, Alqarni SA, Alshamrani FM, Alqarni EM, Almathami AA, Almathami MA, et al. Knowledge and Awareness of Screening for Children With Cryptorchidism in the Al-Qunfudhah Governorate, Saudi Arabia. Cureus. 2024;16(5):e59770.
[6] Shin J, Jeon GW. Comparison of diagnostic and treatment guidelines for undescended testis. Clinical and experimental pediatrics. 2020;63(11):415-21.
[7] Igarashi A, Kikuchi K, Ogushi K, Hasegawa M, Hatanaka M, Fujino J, et al. Surgical exploration for impalpable testis: Which should be first, inguinal exploration or laparoscopic abdominal exploration? Journal of pediatric surgery. 2018;53(9):1766-9.
[8] Pakkasjärvi N, Taskinen S. Surgical treatment of cryptorchidism: current insights and future directions. Frontiers in endocrinology. 2024;15:1327957.
[9] Thorup J, Cortes D. Surgical Management of Undescended Testis - Timetable and Outcome: A Debate. Sexual development : genetics, molecular biology, evolution, endocrinology, embryology, and pathology of sex determination and differentiation. 2019;13(1):11-9.
[10] Lê Minh Trác. Chẩn đoán sớm và đánh giá kết quả điều trị tinh hoàn không xuống bìu. Hà Nội: Đại học Y Hà Nội; 2016.
[11] Tô Hoàng Dũng. Đánh Giá Kết Quả Sớm Phẫu Thuật Nội Soi Điều Trị Ẩn Tinh Hoàn Ở Trẻ Em Tại Bệnh Viện Việt Đức. Thái Bình: Trường Đại học Y dược Thái Bình; 2016.
[12] Braga LH, Lorenzo AJ, Romao RLP. Canadian Urological Association-Pediatric Urologists of Canada (CUA-PUC) guideline for the diagnosis, management, and followup of cryptorchidism. Canadian Urological Association journal = Journal de l'Association des urologues du Canada. 2017;11(7):E251-e60.
[13] Li W, Chen Z, Xu W, Gao Y, Liu Z, Li Q, et al. Prevalence of congenital cryptorchidism in China: A nationwide population-based surveillance study, 2007-2021. Andrology. 2024.
[14] Nguyễn Công Hùng. Đánh giá kết quả điều trị tinh hoàn không xuống bìu ở trẻ em tại bệnh viện Đa khoa tỉnh Bắc Ninh. Thái Nguyên: Đại học Y dược Thái Nguyên; 2015.
[15] Lê Văn Trưởng. Đánh giá kết quả điều trị phẫu thuật tinh hoàn không xuống bìu ở trẻ em tại Bệnh viện Việt Đức. Hà Nội: Đại học Y Hà Nội.; 2013.