|
|||||
|
|
Consequences of bilateral cryptorchidism in adults |
|
| Authors: | R Adomaitis B Vincel A Eidukaite E Ostaneviciute R Kirka V Bilius D Malcius G Verkauskas F Hadziselimovic |
| Institution: | 1. Centre of Urology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania;2. Children's Surgery Centre, Faculty of Medicine, Vilnius University, Vilnius, Lithuania;3. Centre for Innovative Medicine, State Research Institute, Vilnius, Lithuania;4. Centre of Laboratory Medicine, Vilnius University, Vilnius, Lithuania;5. Faculty of Mathematics and Informatics, Vilnius University, Vilnius, Lithuania;6. Department of Pediatrics, Faculty of Medicine, Vilnius University, Vilnius, Lithuania;7. Department of Pediatric Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania;8. Institute for Andrology, Liestal, Switzerland |
| Abstract: | Bilateral cryptorchidism treatment results are often shadowed by the majority of unilateral cases. We report the long‐term follow‐up results of boys treated for bilateral cryptorchidism during childhood. Patients treated in two main paediatric surgery centres were selected from medical registries and invited for a clinical examination including scrotal ultrasound, salivary testosterone measurement and a semen sample. Thirty‐six men (38.3%) replied to the written invitation, and 21 agreed to be examined. The mean age at orchidopexy was 74 months (range 24–138). Sperm count was 0.42 × 106 (SD ± 0.64 × 106) ml?1. The correlation between total testicular volume and total sperm count was statistically significant (r = 0.481; P = 0.032). These results show that surgical treatment of bilateral cryptorchidism after the age of 2 years does not prevent infertility. Sperm count and endocrine evaluation advocated after the treatment of bilateral cryptorchidism in all adult patients. |
| Keywords: | Cryptorchidism fertility orchidopexy semen analysis |