Zhang Huangchenghao,Yan Bing,Tang Haoyu,et al.Clinical diagnosis and treatment of 13 children with ectopic testis[J].Journal of Clinical Pediatric Surgery,,21():1090-1094.[doi:10.3760/cma.j.cn101785-202009028-017]
Clinical diagnosis and treatment of 13 children with ectopic testis
- Keywords:
- Testicular Diseases; Perineum; Penis; Anti-Mullerian Hormone; Surgical Procedures; Operative
- Abstract:
- Objective To summarize the clinical experiences of diagnosing and treating ectopic testis (ET) and enhance its clinician awareness.Methods From September 2014 to July 2019, clinical data were retrospectively reviewed for 13 ET children.Management experiences were summarized from the aspects of type, etiology, clinical diagnosis, treatment and prognosis.Results The median age was 19(6-84) months.Transverse ET was located in perineal area (n=2), scrotal septum (n=1) and subcutaneous inguinal canal (n=1).The involved side was left (n=5) and right (n=4).The lesion was located in subcutaneous superficial fascia capsule (n=5), perineum subcutaneous tissue (n=2) and thigh root (n=2).Open testicular exploration was performed for non-transverse ET and laparoscopic exploration for transverse ET.During a postoperative follow-up period of 6 months to 2 years.Testicular volume of affected side at 6 months post-operation was (239.5±73.2) mm3.The postoperative testicular volume at affected side at month 12 was significantly larger than that pre-operation[(239.0±79.5) vs. (145.8±51.7) mm3, P<0.05].However, ultrasonic results at Month 6/12 post-operation showed no significant change in testicular volume at affected side (t=0.331, P=0.749).Except for 1 case of testicular atrophy after trauma, none had testicular atrophy.Conclusion The specific management protocols of ET vary greatly among individuals and surgery remains a standard treatment.Transectopic testis may be definitively diagnosed laparoscopically and appropriate surgical approach is based upon specific situations.Month 6 post-operation is an important timepoint for evaluating surgical efficacy of ET.
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Memo
收稿日期:2020-09-15。
基金项目:云南省教育厅科学研究基金（2020J0228）；云南省科技厅昆医联合专项-面上项目（202001AY070001—271）；昆明市卫生科技人才"十百千"培养项目（2020—SW（后备）—112）；昆明市西山区科技计划项目（2020—西科字23号）；云南省儿童健康与疾病临床医学研究中心开放研究基金（2022—ETYY—YJ—03）
通讯作者:严兵,Email:yanbing@etyy.cn