Outcomes of surgical treatment of congenital diseases of inguinal-scrotal area in children

K.A. Ismailov, E.A. Volodko, Z.I. Chanakanov, K.K. Mirakov, A.B. Okulov

Department of Pediatric Surgery of Scientific Research Center SEI
AE Russian Medical Academy of Postgraduate Education, Moscow

The present study included a retrospective analysis of case histories of 245 patients aged 16 to 32 years old with congenital surgical diseases of inguinal-scrotal area, 212 of which were operated.

Most of the patients were operated for the following diseases: with cryptorchidism (n=92), with a hydrocele (n=51), with inguinal hernia (n=48), and the smallest number (n=21) - spermatoceles.

Proved that one third of patients operated on for cryptorchidism in childhood, at a young age revealed hormonal signs of secretory infertility, which have not been diagnosed and corrected. Comparative analysis of the mean FSH confirmed that cryptorchidism is a significant risk factor for reducing fertility. Found that decreasing spermatogenic function does not depend on the location of cryptorchidism, the patient's age at the time of operation and the method of surgical correction. Semen analysis performed to 92 patients after surgical correction of cryptorchidism in 15-22 years (average maturity was 17,5 ± 2,5 years). Established various forms pathospermia (n=81), with dominantion of astenoteratozoospermia (53,4%, n=39).

Investigation of serum FSH levels, a marker of spermatogenesis evaluation, carried out by 51 patients 15-22 years after surgery. Increased serum FSH with unilateral hydrocele diagnosed in 5 (11.3%) patients with bilateral - in 1 (14.2%).

Keywords: congenital inguinal-scrotal diseases, infertility , erectile dysfunction, pathospermia , orhopathy, prostatopathy.

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