Related Experiment Videos
[Cryptorchidism in adults. About 81 cases]
Faiçal Ben Jeddou1, Samir Ghozzi, Nawfel B Rais
1Service urologie, hôpital militaire principal d'instruction de Tunis.
La Tunisie Medicale
|February 3, 2006
Summary
Undescended testes (cryptorchidism) in adults often leads to testicular damage, including atrophy and infertility. Orchidopexy is recommended even in adults, as it can improve semen quality and prevent malignancy.
Area of Science:
- Urology
- Andrology
- Pediatric Surgery
Context:
- Cryptorchidism is typically managed in childhood.
- Adult-onset or untreated cryptorchidism offers insights into its natural progression.
Purpose:
- To investigate the spontaneous course and histological consequences of cryptorchidism in adults.
- To evaluate the efficacy of orchidopexy in adult patients.
Summary:
- This study analyzed 81 adult patients (age >14 years) with cryptorchidism.
- Higher testicular location correlated with increased glandular atrophy and histological damage.
- A 93% rate of secretory azoospermia was observed, linked to seminiferous tubule degeneration and interstitial fibrosis.
- Bilateral cryptorchidism showed more severe lesions, with two cases progressing to malignancy.
- While orchidectomy is sometimes advocated, reported cases of semen normalization post-orchidopexy support its continued use.
Impact:
- Findings highlight the significant testicular damage associated with adult cryptorchidism.
- Supports orchidopexy as the preferred treatment for adult cryptorchidism, even in cases of infertility.
- Emphasizes the potential for malignancy development in untreated cases, underscoring the need for timely intervention.