The Short Time Changes Of Testicular Volume After Surgical In Children With Cryptorchidism

Researching background and Objective Cryptorchidism (or Undescend testis) is one of the most commonly genitourinary-system diseases in boy, incidence of3%-5%in full-term newborn male,6-month later spontaneously dropped to1%-2%, and the main hazard is to cause infertility and cancer. Although the currently accepted surgical treatment is orchidopexy, its long-term outcome is still controversial and uncertain, so concerned about the short time changes in children with cryptorchidism after surgical is especially important.The testicles are male gonad, and its development normal or not directly reflect the postoperative recovery, and development of testicular volume is an important sign of the normal. In this study, the changes of testicular volumes in61cases of children with cryptorchidism before and after surgical were followed up to reveal the recent changes in children with cryptorchidism after surgical and provide the support to prevent the occurrence of cryptorchidism in children with long-term complications.Methods Randomly selected hospitalized61cases of children with cryptorchidism under the age of14in May2010to June2011, age11mohth to13-year-old, the average (4.18±3.17) years.Inclusion criteria:who diagnosed cryptorchidism, unilateral and bilateral all can be incorporated into the standard,not including the retraction of testicular,exclude people with other severe malformations, and other system disease or severe systemic disease, All are the inguinal canal type and accepted orchidopexy. Preoperative and postoperative accepted specialist examination: color Doppler ultrasound B-ultrasound. Grouped by age and disease degree, Preoperative, after3months,6months follow-up children testicular volume (length, width, thickness). Age group for I group (≤2years old), II group (2-5years old), Ⅲ group (≤6years old).Results (1) Children with Cryptorchidism of different ages and unilateral and bilateral cryptorchidism in children of different ages,the changes of the affected side testicular volume before and after surgery is not obvious (P>0.05)(2) The changes of testicular volume percentage in children with different ages with unilateral cryptorchidism before and after surgery between groups Ⅰ and Ⅱ, Ⅲ group (p=0.027,0.017), the difference was statistically significant; Ⅱ, Ⅲ between groups P=0.786, the difference was not statistically significant.Conclusion (1) B not only the detection rate positioning and surgical exploration results, but also the advantage of its convenient non-invasive affirmed the value of B ultrasonic for cryptorchidism. B ultrasound is the first choice for cryptorchidism.(2) Different ages, unilateral and bilateral cryptorchidism and different ages of the unilateral and bilateral cryptorchidism in children,the testicular volume postoperative3months,6months of growth did not change significantly, and have even testicular atrophy.(3) The testicular volume percentage changes in children with unilateral cryptorchid of different ages before and after surgery showed that before2-year-old, underwent surgery, postoperative recovery, growth and change is more obvious.