Effect of scrotal incision orchiopexy on serum inhibin B levels and comparison with classic inguinal orchiopexy.
OBJECTIVE
Inhibin B reveals Sertoli cell activity. After our previous findings of an increase in inhibin B succeeding classic inguinal orchiopexy, we sought to determine the changes in endocrine parameters after scrotal orchiopexy in patients with cryptorchidism and to compare these findings with the results of classic orchiopexy.


METHODS
A total of 50 boys with an undescended testis, 32 unilateral and 18 bilateral, were included in the present study. Scrotal orchiopexy was performed in all of them. Before and 6 months after orchiopexy, the serum basal inhibin B and other serum hormonal levels were measured in all patients.


RESULTS
The mean serum basal inhibin B levels had significantly increased and the other reproductive hormonal levels had not changed at 6 months after successful scrotal orchiopexy in our 50 patients (P = 0.016). Within the subgroups, the increase in inhibin B levels was significant in only those 2-9 years old with a unilateral undescended testis. The increase in inhibin B in those 10-12 years old with unilateral or bilateral undescended testis resulted from the start of puberty. No significant difference was found in terms of an increase in inhibin B after classic and scrotal orchiopexy.


CONCLUSIONS
The measurement of inhibin B levels could be used as a follow-up parameter after orchiopexy. The serum inhibin B level increases after scrotal incision orchiopexy just as after classic inguinal orchiopexy. The increased level of inhibin B might indicate that the orchiopexy has been beneficial.
Department of Urology, Gülhane Military Medical Academy School of Medicine, Ankara, Turkey. hcirkilata@hotmail.com
Hasan Cem
HC
Irkilata
Murat
M
Dayanc
Yusuf
Y
Kibar
Ugur
U
Musabak
Ediz
E
Yesilkaya
Ender
E
Oral
Onder
O
Ors
D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism / Q000097:blood* / Q000601:surgery*; D005640:Follicle Stimulating Hormone / Q000097:blood; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007265:Inhibins / Q000097:blood*; D007986:Luteinizing Hormone / Q000097:blood; D008297:Male; D012611:Scrotum / Q000601:surgery*; D012708:Sertoli Cells / Q000378:metabolism; D013739:Testosterone / Q000097:blood; D013521:Urologic Surgical Procedures, Male / Q000379:methods*
C422364:inhibin B; D013739:Testosterone; D007265:Inhibins; D007986:Luteinizing Hormone; D005640:Follicle Stimulating Hormone