Cryptorchidism: effect on fertility of age at the time of orchiopexy, position and size of the testis and the existence of epididymal anomalies

Abstract

Malgré le traitement chirurgical, la cryptorchidie reste la cause la plus fréquente de stérilité. À travers une revue de la littérature, les auteurs relatent les données actuelles concernant l'influence de l'âge au moment de l'orchidopexie, de la taille du testicule, du siège du testicule et de l'existence d'une indépendance épididymotesticulaire sur la fertilité ultérieure. Pour citer cette revue : Androl. 20 (2010). Mots clés Ectopie testiculaire · Enfant · Chirurgie · StérilitéAbstract Despite surgical treatment, cryptorchidism is the most common cause of infertility. Through a literature review, the authors report current data on the influence of age at the time of orchidopexy, testicular size, the position of the testis, and the existence of epididymal anomalies on fertility. To cite this journal: Androl. 20 (2010).

Epidemiology, Diagnosis and Therapeutic Approaches of Cryptorchidism at the Panzi General Hospital, DR Congo: A 5-year Retrospective Study

“…The prevalence of cryptorchidism varies from 3 to 5% in full-term newborns and around 30% in preterm neonates. It is estimated that around 0.8 to 1% of one-year old children suffer from cryptorchidism (3,11,20). In this study, out of 5066 patients who were received at the pediatric urology service, 76 had cryptorchidism while 158 children were suffering from inguinal hernia, and 37 cases were recorded for congenital hydrocele.…”

“…Surgery is the best treatment approach for cryptorchidism, and the predominance of inguinal surgery is consecutive to the absence of laparoscopic equipment in the Panzi General Hospital. In the African series, the inguinal approach remains the main pathway with fixation of the testis in dartos (10,20,21), the pediatric coelioscopy being inaccessible in many health services (4,11,27). This method is the easiest and helps identify the testis position, the length of the cord, the testis appearance; testis lowering is simple after ligation of the peritoneal-vaginal canal (4,11,29,30).…”

Clinicobiological Profile and Management Outcomes of Male Subfertility

“…We must also add intoxication by alcohol, smoking and varicocele, where Varicocele reduces sperm mobility limiting their ability to reach the ovocyte. Jallouli M et al report that cryptorchidism is the most common cause of male subfertility [6].…”