UNASSIGNED: Twenty-seven boys aged one to 24 months were treated for 35 non-palpable testes. Twenty-one boys with 29 IAT underwent a two-stage laparoscopic Fowler-Stephens operation. The patients underwent ultrasound examination of the TV at six time points: before treatment (TP1), 3 months (TP2) and 9-12 months after laparoscopic F-S operation (TP3), 3 months after inguinal orchidopexy (TP4), 3-6 years of age (TP5) and 7-9 years of age (TP6). The testicular atrophy index (TAI) of the affected testicle was calculated.
UNASSIGNED: The overall success rate of treatment was 93.1% (27/29). The median volume of the affected testicles before treatment was less than the median TV of the healthy gonad, but increased systematically at the successive time points, showing significant growth between the second and sixth time points (p < 0.02, R = 2.75). The median TAI value decreased at the subsequent time points from the level of 26% at TP1 to 5.4% at TP6, with no significant difference.
UNASSIGNED: Two-stage laparoscopic Fowler-Stevens operation proved to be an effective procedure for the treatment of intra-abdominal testicles. The undescended testis had a chance to grow and to equalize with the healthy testis after this procedure. The incidence of testicular atrophy was low.
未经评估:27个月至24个月的男孩接受了35个无法触及的睾丸治疗。21名29IAT的男孩接受了两阶段腹腔镜Fowler-Stephens手术。患者在六个时间点接受电视超声检查:治疗前(TP1),腹腔镜F-S手术后3个月(TP2)和9-12个月(TP3),腹股沟睾丸固定术(TP4)后3个月,3-6岁(TP5)和7-9岁(TP6)。计算受影响睾丸的睾丸萎缩指数(TAI)。
UNASSIGNED:治疗总成功率为93.1%(27/29)。治疗前受累睾丸的中位体积小于健康性腺的中位TV,但在连续的时间点系统地增加,在第二和第六个时间点之间显示出显著的增长(p<0.02,R=2.75)。在随后的时间点,中值TAI值从TP1的26%的水平下降到TP6的5.4%,没有显著差异。
UNASSIGNED:两阶段腹腔镜Fowler-Stevens手术被证明是治疗腹内睾丸的有效方法。在此过程之后,未下降的睾丸有机会生长并与健康的睾丸相等。睾丸萎缩的发生率较低。