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Testicular, Epididymal and Vasal Anomalies in Pediatric Patients with Cryptorchid Testes and Testes with

Jerzy Niedzielski1, Maciej Nowak2, Piotr Kucharski1

  • 1University Pediatric Centre, Department of Pediatric Surgery and Urology, Medical University of Lodz, 90-647 Lodz, Poland.

Journal of Clinical Medicine
|June 10, 2022
PubMed

Insights

Testicular, epididymal, and vasal anomalies (TEVA) are more common in boys with undescended testes (UDT) than hydrocele. Higher testicular position and atrophy correlate with increased TEVA incidence and severity in UDT patients.

Area of Science:

  • Pediatric Urology
  • Developmental Biology
  • Surgical Anatomy

Background:

  • Undescended testes (UDT) and communicating hydrocele are common pediatric conditions.
  • Abnormalities in testicular fusion with the epididymis and vas deferens can occur.
  • Understanding the prevalence and risk factors for these anomalies is crucial for surgical planning.

Purpose of the Study:

  • To determine the prevalence of testicular, epididymal, and vasal anomalies (TEVA) in pediatric patients with cryptorchidism and communicating hydrocele.
  • To investigate correlations between TEVA and factors like testicular position, atrophy, and laterality.

Main Methods:

  • Retrospective analysis of 741 inguinal explorations in 691 prepubertal boys.
  • Documentation of TEVA during surgical exploration for UDT and hydrocele.
  • Statistical analysis to compare anomaly prevalence and correlate with clinical factors.

Main Results:

  • TEVA were significantly more frequent in boys with UDT (154/691) compared to hydrocele (24/24).
  • Higher incidence of TEVA in bilateral UDT and intra-abdominal testes.
  • Strong correlations found between testicular atrophy index (TAI), testicular position, and the incidence/number of TEVA.

Conclusions:

  • The risk of TEVA is significantly higher in pediatric UDT patients than in those with hydrocele.
  • Intra-abdominal testes and bilateral undescended testes are associated with an increased risk of TEVA.
  • Testicular position and atrophy are key indicators for the presence and severity of TEVA in UDT.

Keywords:
canalicular testiscommunicating hydroceleintra-abdominal testistesticular epididymal vasal anomaliesundescended testis

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