Tovar JM, de la Vega J, Chávez I, Bañuelos L, Avilés M, Ayala A

Language: Spanish
References: 8
Page: 29-32
PDF size: 45.24 Kb.

ABSTRACT

Objective. To compare the seminal alterations between patients treat for cryptorchidism versus healthy man. Method. We review the files of 25 patients treat by undescended testis unilateral or bilateral in the Hospital Juárez de México. To evaluate the clinical, seminal and treatment characteristic. The control group were 21 healthy men, 10 of them with fertility prove. The statistical analysis was t Student. Results. In this study predominant cryptorchidism unilateral over bilateral (3:1). Only find one oligozoospermic patient and five with azoospermia, 4 of them with bilateral cryptorchidism. The average age of the first treatment medical or surgical was to 12 years old (range 6-36). The treatment more used was surgical. We see decreased in ejaculate, mobility progressive fast and decrement normal forms (p ‹ 0.01) in seminal analysis of patients with cryptorchidism. Conclusion. We consider age of initial treatment was late, and produce damage to spermatogenesis, number, morphology and mobility. It is necessary to assess another organs like prostate and seminal vesicles in making semen in this disease.

REFERENCES

1. Berkowitz GS, Lapinsky RH, Dolgin SE, Gazella JG, Bodian CA, Holzman IR. Prevalence and natural history of cryptorchidism. Pediatrics 1993; 92(1): 44-9.

2. Giwercman A, Lundgaard L, Skakkebaek EN. Initiation of sperm production after bilateral orchiopexy: Clinical and biological implications. J Urol 2000; 163: 1255-6.

3. Houston JM, et al. Undescended testes. Endocrine Reviews 1997; 18(2): 259-80.

4. Mieusset R, Bujan L, Massat G, Mansat A, Pontonnier F. Clinical and biological characteristics of infertile men with a history of cryptorchidism. Hum Reprod 1995; 10: 613-19.

5. Lee PA, Coughlin MT, Bellinger MF. Paternity and hormone levels after unilateral cryptorchidism: Association with pretreatment testicular location. J Urol 2000; 164: 1697-1701.

6. Chilvers C, Dudley EN, Gough MH, et al. Undescended testis: The effect of treatment on subsequent risk of sub fertility and malignancy. J Pediatric Surg 1986; 21: 691.

7. World Health Organization. Laboratory manual for the examination of human semen and semen-cervical mucus interaction. 3rd Ed. New York: Cambridge University Press; 1993.

8. De Jonge Ch J, Barrat ChLR. Who manual... Who should care? Hum Reprod 1999; 14(10): 2431-33.