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Structural evidence against hormonal therapy for cryptorchid testis: abnormal gubernacular attachment

Authors
 WOONG KYU HAN  ;  JANG HWAN KIM  ;  SANG WON HAN  ;  CHANG HEE HONG 
Citation
 JOURNAL OF UROLOGY, Vol.171(6 Pt 1) : 2427-2429, 2004 
Journal Title
JOURNAL OF UROLOGY
ISSN
 0022-5347 
Issue Date
2004
MeSH
Child ; Child, Preschool ; Cryptorchidism/drug therapy* ; Cryptorchidism/surgery* ; Humans ; Infant ; Male ; Prospective Studies ; Testis/abnormalities*
Abstract
PURPOSE:
Various factors are involved in testicular descent, and no single factor is elucidated as the cause of cryptorchidism. We prospectively observed the locations of gubernacular attachments in the cryptorchid testis.
MATERIALS AND METHODS:
From April 1996 to June 2002, 639 boys underwent surgical correction of cryptorchid testis. Those with complete records of testicular locations and gubernacular attachments were analyzed.
RESULTS:
A total of 639 boys underwent 732 surgical corrections of inguinal testis (425, 58%), high scrotal testis (165, 23%) and impalpable abdominal testis (142, 19%). Impalpable abdominal testes had gubernacular attachment to either the lateral or upper scrotum in 36 cases (25%) or around the inguinal ring in 83 (58%). The gubernaculum was attached to the bottom of the scrotum in 21 inguinal testes (5%), to the lateral or upper scrotum in 132 (31%) or around the inguinal ring in 268 (63%). In cases of high scrotal testis the gubernaculum was attached usually to the bottom of the scrotum (28, 17%), to the lateral or upper scrotum (109, 66%) or around the inguinal ring (26, 16%).
CONCLUSIONS:
The locations of distal gubernacular attachments in the cryptorchid testis were usually abnormal (93%). In these cases the possible testicular descent induced by hormonal therapy may either be insufficient or unable to prevent future ascent. Thus, early surgical correction rather than hormonal therapy is warranted in boys with cryptorchid testis.
Full Text
http://www.sciencedirect.com/science/article/pii/S0022534705622136
DOI
10.1097/01.ju.0000125271.29809.d0
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jang Hwan(김장환) ORCID logo https://orcid.org/0000-0002-9056-7072
Han, Sang Won(한상원) ORCID logo https://orcid.org/0000-0003-0941-1300
Han, Woong Kyu(한웅규) ORCID logo https://orcid.org/0000-0002-2527-4046
Hong, Chang Hee(홍창희) ORCID logo https://orcid.org/0000-0002-0946-7702
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/111605
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