You are here

Home » Content

Çocuklarda İnmemiş Testis ve Yeni Tedavi Yaklaşımları

Undescended Testis In Children and New Treatment Approaches

Journal Name:

  • Selçuk Tıp Dergisi

Publication Year:

  • 2011

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
To prevent testicular degeneration caused by the effect of temperature, infertility, the formation of groin hernias, testicular torsion, predisposition to travma and negative effect to children psychologically at the children who had undescended testes are important. The testis doesn’t descend into the scrotum if hemiscrotum doesn’t grow sufficiently. If right or left scrotum appears to be normal, testis ascends or is retractil. Testes at the children who had retractil testes remain in scrotum after drawing into scrotum, the size of the testes are normal and the testes are frequently in scrotum since before. Ectopic testis can be localised at the regions of perineal, femoral, pubisopenil regions or contralateral scrotum. Orchiopexy or laparoscopic orchiopexy is performed after observing the children, who had undescended testis for one year. Surgical procedure should be carried out without waiting for the children who had ectopic testes, but not for the children who had retractile testis.
Bookmark/Search this post with
Abstract (Original Language): 
İnmemiş testiste; ısı etkisiyle oluşan testis dejenerasyonunu ve infertiliteyi önlemek, malignite olasılığını ortadan kaldırmak, inguinal herni ve testis torsiyonu oluşumunu engellemek, travmaya predispozisyon oluşturmamak ve psikolojik olarak çocuğun etkilenmesini önlemek amaçlanır. Skrotumun bir tarafı az gelişmiş ise testis skrotum içine inmemiştir. Sağ ya da sol skrotum normal görünümdeyse, testis yukarı çıkmış ya da retraktildir. Retraktil testiste manipülasyonla testis skrotum içine çekildikten sonra skrotumda kalır, testis normal büyüklüktedir ve daha önce çoğunlukla skrotum içindedir. Ektopik testis perinede, femoral bölgede, pubopenil bölgede ya da karşı taraf skrotumda yerleşebilir. İnmemiş testiste bir yaşına kadar bekledikten sonra orşiopeksi ya da laparoskopik orşiopeksi yapılır; ektopik testiste hemen cerrahi girişim yapılır; retraktil testiste ise cerrahi girişim yapılmamalıdır.
FULL TEXT (PDF): 
PDF icon arastirmax-cocuklarda-inmemis-testis-yeni-tedavi-yaklasimlari.pdf
  • 2
121-123
  • Turkish

REFERENCES

References: 

1. Hutson JM. Undescended Testis, Torsion, and Varicocele. In:
Grosfeld JL, O’Neill JA, Fonkalsrud EW, Coran AG, editors.
Pediatric Surgery volume two 6th ed. Philadelphia: Mosby
Elsevier; 2006: p. 1193-1214.
2. Yücesan S, Dindar H, Olcay I, Okur H, Kiliçaslan S, Ergören
Y, , et al. Prevalence of congenital abnormalities in Turkish
school children. Eur J Epidemiol 1993;9(4):373-80.
3. Elert A, Jahn K, Heidenreich A, Hofmann R. The familial
undescended testis. Klin Pediatr 2003;215(1):40-45.
4. Ciftci AO, Senocak ME, Tanyel FC, Buyukpamukcu N. Clinical
predictors for differential diagnosis of acute scrotum. Eur J
Pediatr Surg 2004;14(5):333-38.
5. Zhu XS, Zheng XM, Li SW, Zheng H, Hu LQ. Investigation of
the mechanism of genitofemoral nerve in the contralateral
testes damage of unilateral cryptorchid rats. Zhonghua Nan Ke
Xue 2002;8(4):264-69.
6. Tanyel C, Ertunç M, Ekinci S, Otçu S, Yıldırım M, Onur R.
Chemical Sympathectomy by 6-OH Dopamine During Fetal
Life Results in Inguinal Testis Through Altering Cremasteric
Contractility in Rats. J Pediatr Surg 2003;38(11):1628-32.
7. Hutson JM, Hasthorpe S. Testicular descent and cryptorchidism
: the state of the art in 2004. J Pediatr Surg 2004;40(2):297-02.
8. Tanyel FS. The descent of testis and reason for failed descent.
Turk J Pediatr 2004; 46 Suppl:7-17.
9. Tanyel FC, Ertunç M, Ekinci S, Yildirim M, Onur R. Antiandrogen induced inhibition of testicular descent is associated
with a decrease in sympathetic tonus. Eur J Pediatr Surg
2005;15(4):273-78.
10. Tiryaki T, Abbasoğlu L, Sakız D. Division of the genitofemoral
nerve in normal scrotal testicular rats. Pediatr Surg Int
2000;16:573-75
11. Tanyel FC. Obliteration of processus vaginalis: aberrations
in the regulatory mechanism result in an inguinal hernia,
hydrocele or undescended testis. Turk J Pediatr 2004; 46
Suppl:18-27.
12. Fonkalsrud EW. Disorders of the Inguinal Canal. In: O’Neill
JA, Grosfeld JL, Fonkalsrud EW, Coran AG, Caldamone AA,
editors. Principles of Pediatric Surgery. 2nd ed. Missouri:
Mosby; 2004:437-50.
13. Udagawa K, Takeda M, Hosaka M, Kubota Y, Ogawa T.
Recovery of spermatogenesis by high dose gonadotropinreleasing hormone analogue treatment in rat cryptorchid testes
after orşiopexy. J Urol 2002;168(3):1279-83.
14. Başaklar AC. İnmemiş Testis. İçinde: Başaklar AC, ed. Bebek
ve Çocukların Cerrahi ve Ürolojik Hastalıkları. 2. Cilt. Ankara:
Palme Yayıncılık; 2006:1717-1752.
15. Şahin C, Artan M, Aksoy Y. The effects of one-and two-stage
orchiopexy on postoperative serum testesterone levels and
testicular volume in adult patient with bilateral nonpalpable
testes. J Laparoendosc Adv Surg Tech A 2002;12(5):327-31.
16. Alam S, Radhakrishnan J. Laparoscopy for Nonpalpabl Testes.
J Pediatr Surg 2003;38(10):1534-36.
17. Yurtçu M, Abasıyanık A, Gökçe R, Avunduk M.C, Özdamar M.Y:
İntraabdominal testislerin Fowler-Stephens yöntemi ile yapılan
cerrahi tedavisinden sonra gelişen testis atrofisini önlemede
melatonin ve steroidin uzun dönem etkilerinin araştırılması.
Çocuk Cerrahisi Dergisi 2008; 22(1):33-38.
18. Papparella A, Parmeggiani P, Cobellis G, Mastroianni L,
Stranieri G, Pappalepore N, et al. Laparoscopic management
of nonpalpabletestes: A multicenter study of the Italian Society
of Video Surgery in Infancy. J Pediatr Surg 2004;40(4):696-
700.
19. Wallen EM, Shortliffe LMD. Undescended Testis and Testicular
Tumors. In: Ashcraft, Murphy, Sharp, Sigalet, Snyder, editors.
Pediatric Surgery. 3rd ed. United States of America: W.B.
Saunders Company; 2000:663-73.

Thank you for copying data from http://www.arastirmax.com