[Radionuclide diagnosis of the degree of structural changes in the testes after herniotomy].
Funiculus spermaticus is exposed to invasive surgical intervention during Inguinal hernia reconstruction. Division or mechanical trauma to the spermatic artery account for serious trophic changes in the testis which, in bilateral herniotomy in particular, give rise to azoospermia. Here utilization of gamma camera scintigraphy of testes is indicated insofar as it may establish the degree of structural changes in testes as a result of mechanical injury to the spermatic chord during herniotomy which, in turn, has important prognostic implications on the fertility potential of patients. Twenty-five patients aged 3 to 48 years are covered by the study. In four of them herniotomy is associated with ipsilateral cryptorchidism and because of that orchiopexy is resorted to. In seven cases complete atrophy of testes following herniotomy is established scintigraphically. The imaging of testes fails, and functional parenchyma is lacking. In case of testicular hypoplasia, gamma-camera scintigraphy yields important information on the blood flow and blood supply to testes, as well as on intercurrent changes taking place. The radionuclide indices undergo alterations consistent with the structural changes in the parenchyma of testes. The severer the structural changes, the lower the values of radionuclide indices.
Sultanov
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D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D015902:Gamma Cameras; D006552:Hernia, Inguinal / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000209:etiology; D011877:Radionuclide Imaging; D012611:Scrotum / Q000000981:diagnostic imaging; D013670:Sodium Pertechnetate Tc 99m; D013737:Testis / Q000000981:diagnostic imaging* / Q000473:pathology
D013670:Sodium Pertechnetate Tc 99m
Radionuklidna diagnostika na stepenta na strukturni promeni v testisite sled kherniotomiia.