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![]() MITIOGLO, Grigori, ARIAN, Iurii, DUMBRĂVEANU, Ion. Adult cryptorchidism – the cause of male infertility. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 278. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | |||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | |||||||
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Pag. 278-278 | |||||||
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Background. Cryptorchidism - the most common congenital anomaly of the male genitals in children. Prevalence in adults up to 1%. Surgical treatment is indicated until the age of 1 year, but the risk of developing complications persists: testicular cancer and infertility. Objective of the study. Study of fertility in adult patients with cryptorchidism. Material and Methods. Evaluation of the data from specialized literature and the activity of the Urology Department, included 27adult patients with cryptorchidism, treated during 2015-2020. The age of patients was between 16-50years, with an average of 24±7years. Evaluation of pre- and postoperative patients included physical examination, ultrasound, spermogram, male sex hormones, tumor markers. Results. Were diagnosed 15 patients with unilateral cryptorchidism on the left side(55%), 11 patients on the right side (41%) and only 1 patient (4%) with bilateral cryptorchidia. Preoperative, sperm disorders were detected in 21 patients (77%), of which in 12 patients (44%) azospermia. Orhectomy was performed in 10 patients (37%) and orhidopexy was performed in 17 patients (63%). The result of the histological examination of removed testicle revealed atrophy and sclerosis of the testicular tissue. Postoperative, no improvement in sperm parameters was determined in one patient, in 8 patients (48%) with orhodopexy the spermogram was deteriorated. Conclusion. Male infertility is present in most adults with cryptorchidism. Surgical treatment in order to prevent malignancy of the undescended testicle, deteriorates the parameters of the spermogram. Cryopreservation of semen is required before adult orhidopex |
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Cuvinte-cheie cryptorchidism, infertility, criptorhidie, infertilitate |
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