2021 Volume 57 Issue 3 Pages 591-595
Purpose: In this study, we aimed to assess our surgical indication for retractile testis on the basis of the presence or absence of testicular growth after orchiopexy.
Methods: From December 2006 to June 2018, a total of 465 patients were diagnosed as having bilateral retractile testes in our department, and we measured the large diameter of testis every 3 to 6 months by ultrasound sonography (US). We classified them as follows: Group A: unilateral disorder, Group B: bilateral disorder, Group C: ascending testis. There were 145 patients (65 in group A, 56 in group B, and 24 in group C) in whom orchiopexy was performed. Every 3 to 12 months after the surgery, we restarted measuring the testicular large diameter by US. Twenty-six patients in group A and 48 in group B were followed up.
Result: In group A, 25 of the 26 patients (96%) showed testicular growth, and the difference between the left and right testes disappeared after the surgery. In group B, 36 of the 48 patients (75%) showed growth of bilateral testes 12 months after the surgery. The remaining 12 patients showed no postoperative development, and more than 12 months after surgery, we found that 7 of these 12 patients had a higher age of first visit than those in whom development was observed, and the testicle size was about 3.3 mm smaller than the standard size.
Conclusion: In Group A, the surgical adaptation criteria of our hospital were considered to be appropriate. In group B, the testicle size at the first visit was 3 mm or more smaller than the standard size; therefore, we thought that we should operate earlier.
