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Vol.70 (2024) >

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Title: Evaluation of testicular stiffness in boys with unilateral cryptorchidism after orchiopexy by ultrasound strain elastography
Authors: Sato, Yuichi
Kirihana, Yusuke
Meguro, Satoru
Tanji, Ryo
Onagi, Akifumi
Honda-Takinami, Ruriko
Matsuoka, Kanako
Hoshi, Seiji
Hata, Junya
Akaihata, Hidenori
Ogawa, Soichiro
Uemura, Motohide
Kojima, Yoshiyuki
Affiliation: 泌尿器科学講座
Source title: Fukushima Journal of Medical Science
Volume: 70
Issue: 2
Start page: 57
End page: 64
Issue Date: 2024
Abstract: Purpose: We assessed the stiffness of unilateral undescended testes after orchiopexy, examining its value in tracking histopathological changes and fertility potential during postoperative follow-up. Additionally, we explored the optimal timing for surgery based on testicular stiffness. Patients and Methods: Thirty-six boys who had been diagnosed with unilateral undescended testis and treated with orchiopexy were included in the study. Testicular stiffness was evaluated several times over respective follow-up periods by ultrasound strain elastography after orchiopexy. The strain ratios were measured as the ratios of the elasticities of the descended testis to those of the operated testes. The patients were divided into two groups based on the age at which they underwent orchiopexy:under < 2 years (Group A) and ≥ 2 years (Group B). Results: The mean strain ratios were 0.90 ± 0.32 and 0.92 ± 0.20 in Groups A and B, respectively. In Group A, the strain ratio was constant regardless of postoperative months (r = 0.01, p = 0.99); however, in Group B, it tended to increase with postoperative months (r = 0.42, p = 0.07). Conclusions: Evaluation of testicular stiffness may be useful for the estimation of histopathological changes and fertility potential in boys with unilateral undescended testes at follow-up appointments after orchiopexy. Our data indicate that performing orchiopexy as early as possible may be recommended to avoid testicular damage.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/2231
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/2231/1/FksmJMedSci_70_p57.pdf
ISSN: 0016-2590
DOI: 10.5387/fms.2023-19
PubMed ID: 38346721
Related Page: https://doi.org/10.5387/fms.2023-19
Rights: © 2024 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license.
Rights: https://creativecommons.org/licenses/by-nc-sa/4.0/
Appears in Collections:Vol.70 (2024)

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FksmJMedSci_70_p57.pdf1.18 MBAdobe PDFDownload

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