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The Remnant Orchiectomy

医学 睾丸切除术 外科
作者
Thomas A. Rozanski,Kirk J. Wojno,David A. Bloom
出处
期刊:The Journal of Urology [Lippincott Williams & Wilkins]
卷期号:155 (2): 712-714 被引量:65
标识
DOI:10.1016/s0022-5347(01)66507-8
摘要

No AccessJournal of UrologyPediatric Urology1 Feb 1996The Remnant Orchiectomy Thomas A. Rozanski, Kirk J. Wojno, and David A. Bloom Thomas A. RozanskiThomas A. Rozanski , Kirk J. WojnoKirk J. Wojno , and David A. BloomDavid A. Bloom View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)66507-8AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We examined and characterized the histological features of remnant testicular tissue distal to the internal inguinal ring in boys who underwent exploration for a nonpalpable testis. Materials and Methods: The medical records and histology of 48 boys (50 remnants) who underwent exploration for a nonpalpable testis during a 10-year period were reviewed in detail. Results: Remnant tissue was characterized by evidence of ischemia and necrosis (scar, calcification, hemosiderin and hyalinization) suggestive of a vascular accident. Viable germ cells were identified in 5 remnants. Conclusions: A 10 percent incidence of viable germ cells in remnant testicular tissue warrants exploration and removal of all remnant tissue in boys who undergo exploration for a nonpalpable testis. References 1 : Prevalence and natural history of cryptorchidism. Pediatrics1993; 92: 44. Crossref, Medline, Google Scholar 2 : Symposium. What is the best approach to the nonpalpable testis?. Contemp. Urol.1992; 4: 39. Google Scholar 3 : Laparoscopic evaluation of the nonpalpable testis: a prospective assessment of accuracy. J. Urol.1994; 151: 728. Link, Google Scholar 4 : The vanishing testis. Lancet1969; 2: 822. Google Scholar 5 : Laparoscopy for impalpable testes: significance of the patent processus vaginalis. J. Urol.1994; 152: 776. Link, Google Scholar 6 : Laparoscopy for nonpalpable testes in childhood: is inguinal exploration also necessary when vas and vessels exit the inguinal ring:. J. Urol.1992; 148: 635. Abstract, Google Scholar 7 : Evidence in favor of the mechanical (intrauterine torsion) theory over the endocrinopathy (cryptorchidism) theory in the pathogenesis of testicular agenesis. J. Urol.1991; 146: 630. Link, Google Scholar 8 : The value of laparoscopy for 106 impalpable testes relative to clinical presentation. J. Urol.1992; 148: 632. Link, Google Scholar 9 : Human monorchism: a clinicopathological study of unilateral absent testes in 65 boys. J. Urol.1986; 135: 758. Link, Google Scholar 10 : Unilateral anorchism. Report of 11 cases with discussion of etiology and pathogenesis. Urology1978; 11: 251. Google Scholar 11 : Anatomical, morphological and volumetric analysis: a review of 759 cases of testicular maldescent. J. Urol.1993; 149: 570. Link, Google Scholar 12 : The absent cryptorchid testis: surgical findings and their implications for diagnosis and etiology. J. Urol.1994; 151: 718. Link, Google Scholar 13 : Pediatric genitourinary laparoscopic surgery. A. U. A. Today14, November 1994; 7. Google Scholar 14 : Does compensatory testicular enlargement predict monorchism?. J. Urol.1991; 146: 632. Link, Google Scholar 15 : Protection of the solitary testis. J. Ped. Surg.1982; 17: 950. Google Scholar 16 : Orchiopexy: an experimental study of the effect of surgical technique on testicular histology. J. Urol.1989; 142: 553. Link, Google Scholar 17 : Modified dartos pouch orchiopexy. Urology1995; 45: 136. Google Scholar Urology Service, Department of Surgery, Brooke Army Medical Center, San Antonio, Texas, and Departments of Pathology and Surgery, Section of Urology, University of Michican, Ann Arbor, Michigan.© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byShepard C and Kraft K (2017) The Nonpalpable Testis: A Narrative ReviewJournal of Urology, VOL. 198, NO. 6, (1410-1417), Online publication date: 1-Dec-2017.Wood H and Elder J (2008) Cryptorchidism and Testicular Cancer: Separating Fact From FictionJournal of Urology, VOL. 181, NO. 2, (452-461), Online publication date: 1-Feb-2009.Canning D (2008) Pediatric UrologyJournal of Urology, VOL. 179, NO. 3, (1144-1146), Online publication date: 1-Mar-2008.Snodgrass W, Yucel S and Ziada A (2007) Scrotal Exploration for Unilateral Nonpalpable TestisJournal of Urology, VOL. 178, NO. 4S, (1718-1721), Online publication date: 1-Oct-2007.RENZULLI J, SHETTY R, MANGRAY S, ANDERSON K, WEISS R and CALDAMONE A (2018) CLINICAL AND HISTOLOGICAL SIGNIFICANCE OF THE TESTICULAR REMNANT FOUND ON INGUINAL EXPLORATION AFTER DIAGNOSTIC LAPAROSCOPY IN THE ABSENCE OF A PATENT PROCESSUS VAGINALISJournal of Urology, VOL. 174, NO. 4 Part 2, (1584-1586), Online publication date: 1-Oct-2005.SNODGRASS W, CHEN K and HARRISON C (2018) INITIAL SCROTAL INCISION FOR UNILATERAL NONPALPABLE TESTISJournal of Urology, VOL. 172, NO. 4 Part 2, (1742-1745), Online publication date: 1-Oct-2004.CENDRON M, SCHNED A and ELLSWORTH P (2018) HISTOLOGICAL EVALUATION OF THE TESTICULAR NUBBIN IN THE VANISHING TESTIS SYNDROMEJournal of Urology, VOL. 160, NO. 3 Part 2, (1161-1163), Online publication date: 1-Sep-1998. Volume 155Issue 2February 1996Page: 712-714 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.MetricsAuthor Information Thomas A. Rozanski More articles by this author Kirk J. Wojno More articles by this author David A. Bloom More articles by this author Expand All Advertisement PDF downloadLoading ...
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