Volumen testicular en pacientes adultos operadosde criptorquidia en edad infantil y su efectosobre la paternidad / Testicular volume in adult patients undergoing cryptorchidism surgery in childhood, and impact on paternity

Objetivos: Determinar el efecto de la orquidopexia sobre el volu-men testicular. Determinar si la edad de intervención afecta el volumentesticular. Determinar si la paternidad se asocia al volumen testicular.Métodos: Pacientes nacidos entre los años 1961 y 1985, interveni-dos de criptorquidia por el Servicio de Cirugía Pediátrica del HospitalUniversitario Miguel Servet, tomando datos de la localización del testey aspecto macroscópico. Se realizan ecografías testiculares de controly encuestas de paternidad. Realizamos un estudio inicial descriptivo yposteriormente inferencial.Resultados: La ecografía se realizó con una media de 14,9 añospostoperatorios en 216 unidades testiculares y la encuesta de paternidadcon una media de 41,9 años postoperatorios a 157 participantes. Existendiferencias significativas (p = 0,0038) en la distribución del volumentesticular según disyunción del epidídimo. Hay correlación lineal entremayor edad de tratamiento quirúrgico y menor volumen testicular, sinllegar a significancia estadística. Se observan diferencias significativas(p = <0,0001) en el volumen testicular según grupos de operados y nooperados, como también entre los unilaterales y los bilaterales. No seobservan diferencias en índices de paternidad según volumen testicular.Conclusión: El teste intervenido presenta un volumen testicularmenor que el teste de descenso normal. Una mayor edad de tratamientoquirúrgico puede contribuir a un menor volumen final del teste. Lostestículos con disyunción epidídimo testicular completa tienen menorvolumen total. No observamos relación entre el volumen testicular eíndices de paternidad. Más estudios a largo plazo son necesarios.

Objective: To determine the impact of orchiopexy on testicularvolume. To determine whether age at surgery impacts testicular volume.To determine whether paternity is associated with testicular volume.Methods: Patients born between 1961 and 1985 who had under-gone cryptorchidism surgery at the Pediatric Surgery Department ofMiguel Servet University Hospital were included. Testis location andmacroscopic appearance data were collected. Control testicular ultra-sonographies and paternity surveys were carried out. Initially, the studywas descriptive, and subsequently, inferential.Results: Ultrasonography was performed in 216 testicular units amean of 14.9 years following surgery, whereas the paternity survey wasconducted among 157 respondents a mean of 41.9 years following sur-gery. There were significant differences (p = 0.0038) in testicular volumedistribution according to epididymal dissociation. There was a linearcorrelation between older age at surgery and lower testicular volume,but without statistical significance. Significant differences (p = <0.0001)in testicular volume according to groups –operated and non-operated–,as well as between unilateral and bilateral cases, were found. No dif-ferences in paternity rates according to testicular volume were noted.Conclusion: Operated testes have lower volumes than normallydescended testes. Older age at surgery may contribute to lower finalvolumes. Testes with full epididymal-testicular dissociation have lowertotal volumes. No relation between testicular volume and paternity rateswas found. Further long-term studies are required.

Rabdomiosarcoma paratesticular izquierdo, tipo pleomórfico: Presentación de un caso

Se presenta el caso de un paciente con historia de fiebre no cuantificada y disnea de 1 semana de evolución, que posteriormente al realizarle la prueba de COVID-19, sale positivo. Refiere además presentar 2 meses de evolución de aumento del volumen testicular del lado izquierdo, sin ninguna otra sintomatología. En el ultrasonido testicular, se evidencia una masa que ocupa la mayor parte de la bolsa testicular izquierda, de eco textura heterogénea. La tomografía de tórax, abdomen y pelvis contrastada, se observa derrame pleural bilateral con múltiples adenopatías mediastinales, abdominales y pélvicas, así como múltiples metástasis a distancia.   (provisto por Infomedic International)

We present the case of a patient with a history of unquantified fever and dyspnea of 1 week of evolution, who subsequently tested positive for COVID-19. He also reports presenting 2 months of evolution of increased testicular volume on the left side, without any other symptomatology. In the testicular ultrasound, there is evidence of a mass that occupies most of the left testicular pouch, of heterogeneous echo texture. Contrast tomography of the chest, abdomen and pelvis showed bilateral pleural effusion with multiple mediastinal, abdominal and pelvic adenopathies, as well as multiple distant metastases. (provided by Infomedic International)

Significant worsening sperm parameters are associated to testicular hypotrophy in patients with a high grade varicocele.

OBJECTIVE: To investigate the relationship between testicular volume and semen parameter sin patients with unilateral high grade left varicocele. MATERIAL AND METHODS: One hundred eighty seven patients who had left high grade varicocele aged 19-to-25 years were included in this study. All patients underwent a standard evaluation, including medical history and physical examination. The percentage testicular volume difference between the right and left testicles was calculated. The patients were divided into the following three groups; Group 1 (n=72) testicular volume difference <10%, testicular volume difference 10%-20% Group 2 (n=74) and testicular volume difference >20% Group 3 (n=41). RESULTS: The mean age and BMI of the patients were 21.5 years and 23.1kg/m(2), respectively (P=.596, P=.943). The semen parameters and testicular volumes of the three groups were compared. The total motile sperm count, percentage of motile sperm, percentage of normal morphology sperm were found to be lower in Group 3 (P=.011, P=.012, P=.029 respectively). The mean testicular volumes for the left and the right testis were found to be 15.2cm(3) and 17.7cm(3) (P<.001), respectively. No significant difference was found in the right testicular volumes between groups (17.4, 17.7 and 18.1cm(3), P=.573). CONCLUSIONS: A high grade left testicular varicocele is associated with ipsilateral testicular hypotrophy and parallel to worsened sperm parameters.