López-Cruz G, Gallegos-Velasco B, Jimenez-López S, Perez-Campos E, Hernández-Cruz P

Language: Spanish
References: 28
Page: 52-56
PDF size: 328.28 Kb.

ABSTRACT

Introduction: The anomalies that are associated with cryptorchidism are: anomalies of the epididymis, processus vaginalis persistence and testicular appendices. The anomalies of the epididymis can interfere with the fertility in spite of the presence of normal germinal cells. Material and Methods: Patient treated for orquidepexy from january 1st. 2004 thru january 2007. The Orquidopexy was made with the conventional technique. The epididymis and the testis were carefully inspected and if some anomaly appeared. Results: The anomalies of epididymis were the following: Type B: 20 cases (RF of 0,4444); Type C: 9 cases (RF of 0,20); D Type: 10 cases (RF of 0,2222); Type E: 5 cases (RF of 0,1111); F type 1 case (RF 0,0222). The testicular appendices were in 3 cases a single testicular appendix, (RF 0,0666). 40 cases; 2 appendices (RF 0,8888); in 2 cases the appendices were multiple (5 and 4 appendices) (RF of 0,0444). In 95% of the cases patent processus vaginalis existed. Conclussion: From the clinical point of view in the cryptorchidism testis studied here, three elements appeared associated strongly to testicular dysgenesis. These anomalies associated to cryptorchidism in more of 90% of the studied patient’s raises the following hypothesis: ¿ the known disease of criptorchidism must be consider a “criptorchidism syndrome”, that it is accompanied by testicular foetal dysgenesis?.

REFERENCES

1. 1.- Hee HC, Hak KS. Epididymal anomalies associated with patent processus vaginalis in hidrocele and cryptorchidism.J Korean Med Sci 2002;17: 660-2.

2. 2.- Zuppa AA, Nani L, Di Gregorio F, Visintini F, Buonuomo V, Pintus C. Complete epididymal separation presenting as polyorchidism. J Clin Ultrasound. 2006; 34(5): 258-60.

3. 3.- Elder JS. Epididymal anomalies associated with hydrocele/hernia and cryptorchidism: implications regarding testicular descent. J Urol. 1992; 148(2 de 2): 624-6.

4. 4.- Marshall FF, Shermeta DW. Epididymal abnormalities associated with undescended testis. J Urol. 1979; 121(3): 341-3.

5. 5.- Favorito LA, Sampaio FJ. Anatomical relationships between testis and epididymis during the fetal period in humans (10-36 weeks postconception). Eur Urol. 1998; 33(1): 121-3.

6. 6.- Favorito LA, Costa WS, Sampaio FJ. Analysis of anomalies of the epididymis and processus vaginalis in human fetuses and in patients with cryptorchidism treated and untreated with human chorionic gonadotrophin. BJU International. 2006; 98(4): 854-7.

7. 7.- Barthold JS, Redman JF. Association of epididymal anomalies with patent processus vaginalis in hernia, hydrocele and cryptorchidism. J Urol, 1996; 156(6): 2054-6.

8. 8.- Radmayr C, Corvin S, Studen M, Bartsch G, Janetschek G. Cryptorchidism, open processus vaginalis, and associated hernia:laparoscopic approach to the internal inguinal ring. Eur Urol. 1999; 36(6): 631-4.

9. 9.- Koff WJ, Scaletscky R. Malformations of the epididymis in undescended testis. J Urol. 1990; 143(2): 340-3.

10. 10.- Kucukaydin M, Ozokutan BH, Turan C, Okur, Kose O. Malformation of the epididymis in undescended testis.Pediatr Surg Int. 1998; 14(3): 189-91.

11. 11.- Mollaeian M, Mehrabi V, Elahi B. Significance of epididymal and ductal anomalies associated with undescended testis: study in 652 cases. Urology: 1994; 43(6): 857-60.

12. 12.- Gill B, Kogan S, Starr S, Reda E, Levitt S. SAignificance of epididymal and ductal anomalies associated with testicular maldescent. J Urol.1989; 142(2 de 2): 556-8.

13. 13.- Heath AL, Man DW, Eckstein HB. Epididymal abnormalities associated with maldescent of the testis. J Pediatr Surg. 1984; 19(1): 47-9.

14. 14.- Jacob M, Barteczko K. Contribution to the origin and development of the appendices of the testis and epididymis in humans. Anat embryol /Berl). 2005, 209 (4): 287-302.

15. 15.- Favorito LA, Cavalcante AG, Babinski MA. Study on the incidence of testicular and epididymal appendages in patients with cryptorchidism. Int Braz J Urol. 2004; 30: 49-52.

16. 16.- Blesa E, Moreno C, Blesa A, Rodriguez L, Nunez R, Cabrera R. Apendices testiculares y del epididimo. Contribucion acerca de su embriologia y patogenesis. Cir Pediatr. 2003; 16(2): 73-6.

17. 17.- Samnakay N, Cohen RI, Orford L. Androgen and estrogen receptor status of the human appendix testis. J Pediatr Surg. 2004; 39(7): 1150.

18. 18.- Fernandez RE, Blanco DA, Barbagelata LA, Alavrez CL, Novas CS, Gonzalez MM. Escrotyo agudo: torsion testicular de hidátide de Morgagni. Actas Urol Esp. 2004; 28(4): 332.

19. 19.- Chou YH, Chan HK, Huang CN, Huang CH. Torsion of appendix testis. Kaohsiung J Med Sci. 199; 15(6): 322-5.

20. 20.- Mazurkiewwicz I, Jaczek J, Markiewicz C. Torsion of gonadal hydatids in childhood. Z Kinderchir. 1978; 42(5): 304-7.

21. 21.- Simon HB, Larkin PC. Torsion of the appendix testis. Report of 13 cases. JAMA. 1967; 202(9): 906-7.

22. 22.- Fischman AJ, Palmer EL, Scott JA. Radionuclide imaging of sequential torsions of the appendix testis. J Nucl Med. 1987; 28(1): 119-21.

23. 23.- Kaleva M, Toppari J. Cryptorchidism: an indicator of testicular dysgenesis?. Cell Tissue Res. 2005; 322(1): 167-72.

24. 24.- Skakkeback NE. Testicular dysgenesis syndrome. Horm Res. 2003; 60(3): 49.

25. 25.- Favorito LA, Sampaio FJ, Javaroni V, Cardosos LE, Costa WS. Proximal insertion of gubernaculums testis in normal human fetuses and in boys with criptorchidism. J Urol. 2000; 164 (Pt 1): 792-4.

26. 26.- Val-Bernal JF, Val D, Garijo MF. Ectopic epididymal tissue in appendix testis. Virchows Arch. 2006; 449(3): 373-5.

27. 27.- Favorito LA, Waldemar SC, Sampaio FJ. Relationship between the persistence of the processus vaginalis and age in patients with criptorchidism. Int Braz J Urol. 2005; 31: 57-61.

28. 28.- Salle JL,Langer J, Favorito LA. Unilateral renal agenesia associated with partial epididymis and vas deferens