Postpubertal cryptorchidism: review and evaluation of the fertility.
We assessed the fertility of 91 patients affected by unilateral cryptorchidism who were subjected to postpubertal orchidopexy in the last 15 years. All cases were clinically examined, evaluated by semen analysis and Doppler ultrasound of the spermatic artery. Twenty-two patients underwent testicular biopsy. The results indicate that orchidopexy is not the best treatment for postpubertal cryptorchid patients. After orchidopexy, 83.5% of patients were azoospermic or oligospermic, with or without asthenospermia.
Department of Urology, Institute H. San Raffaele, Milano, Italy.
M
M
Grasso
A
A
Buonaguidi
C
C
Lania
F
F
Bergamaschi
M
M
Castelli
P
P
Rigatti
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D003456:Cryptorchidism / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007248:Infertility, Male / Q000453:epidemiology / Q000209:etiology*; D008297:Male; D011627:Puberty; D012189:Retrospective Studies; D012661:Semen / Q000166:cytology; D013737:Testis / Q000601:surgery*