title: Consequences of bilateral cryptorchidism in adults.
abstract: Bilateral cryptorchidism treatment results are often shadowed by the majority of unilateral cases. We report the long-term follow-up results of boys treated for bilateral cryptorchidism during childhood. Patients treated in two main paediatric surgery centres were selected from medical registries and invited for a clinical examination including scrotal ultrasound, salivary testosterone measurement and a semen sample. Thirty-six men (38.3%) replied to the written invitation, and 21 agreed to be examined. The mean age at orchidopexy was 74 months (range 24-138). Sperm count was 0.42 × 106(SD ± 0.64 × 106) ml-1. The correlation between total testicular volume and total sperm count was statistically significant (r = 0.481; P = 0.032). These results show that surgical treatment of bilateral cryptorchidism after the age of 2 years does not prevent infertility. Sperm count and endocrine evaluation advocated after the treatment of bilateral cryptorchidism in all adult patients.
authors.affiliation: Centre of Urology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania. Robertas.adomaitis@santa.lt.
authors.forename: R
authors.initials: R
authors.lastname: Adomaitis
authors.affiliation: Children's Surgery Centre, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
authors.forename: B
authors.initials: B
authors.lastname: Vincel
authors.affiliation: Centre for Innovative Medicine, State Research Institute, Vilnius, Lithuania.
authors.forename: A
authors.initials: A
authors.lastname: Eidukaite
authors.affiliation: Centre of Laboratory Medicine, Vilnius University, Vilnius, Lithuania.
authors.forename: E
authors.initials: E
authors.lastname: Ostaneviciute
authors.affiliation: Faculty of Mathematics and Informatics, Vilnius University, Vilnius, Lithuania.
authors.forename: R
authors.initials: R
authors.lastname: Kirka
authors.affiliation: Department of Pediatrics, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
authors.forename: V
authors.initials: V
authors.lastname: Bilius
authors.affiliation: Department of Pediatric Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania.
authors.forename: D
authors.initials: D
authors.lastname: Malcius
authors.affiliation: Children's Surgery Centre, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
authors.forename: G
authors.initials: G
authors.lastname: Verkauskas
authors.affiliation: Institute for Andrology, Liestal, Switzerland.
authors.forename: F
authors.initials: F
authors.lastname: Hadziselimovic
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007248:Infertility, Male / Q000517:prevention & control; D007989:Libido; D008297:Male; D056126:Orchiopexy; D012463:Saliva / Q000378:metabolism; D013076:Sperm Count; D013737:Testis / Q000000981:diagnostic imaging / Q000473:pathology; D013739:Testosterone / Q000378:metabolism; D014463:Ultrasonography; D055815:Young Adult
chemical_list: D013739:Testosterone
keywords: Cryptorchidism; fertility; orchidopexy; semen analysis