The role of the resistive index in predicting testicular atrophy after orchiopexy in unilateral undescended testis
Purpose One of the most important complications of undescended testis (UDT) surgery is testicular atrophy (TA). We aimed to investigate the factors associated with TA in children who underwent orchiopexy for unilateral UDT. Methods The data of 215 patients aged
Gespeichert in:
| Veröffentlicht in: | Pediatric surgery international 2022-12, Vol.39 (1), p.38-38, Article 38 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 38 |
|---|---|
| container_issue | 1 |
| container_start_page | 38 |
| container_title | Pediatric surgery international |
| container_volume | 39 |
| creator | Ok, Fesih Durmus, Emrullah Ayaz, Muzaffer |
| description | Purpose
One of the most important complications of undescended testis (UDT) surgery is testicular atrophy (TA). We aimed to investigate the factors associated with TA in children who underwent orchiopexy for unilateral UDT.
Methods
The data of 215 patients aged |
| doi_str_mv | 10.1007/s00383-022-05336-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2753303442</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2748040717</sourcerecordid><originalsourceid>FETCH-LOGICAL-c256t-a7f523e88d5f1d67b0cff797ce599ad84cf0d85b4a3c6f5e3d0391cbf7629d603</originalsourceid><addsrcrecordid>eNp9UcFu1TAQtBCIlsIPcECWuHBJ2WSTODlWVYFKlbiUs-Vnr_tc5cWpnVR9f999pEDVA5f1yDszu9oR4mMJpyWA-poBsMMCqqqABrEt8JU4LmtURd-V-PoZPhLvcr4FgA7b_q04wrbu2KE-Ful6SzLFgWT0cj5gyiHP4Z5kGB09cJVTIhfsHMYbORP37DKYJM2c4rTdS-NnSjImuw1xoof9QbGMYTD8bQaGjrIlrm5V5_fijTdDpg9P74n49e3i-vxHcfXz--X52VVhq6adC6N8UyF1nWt86Vq1Aeu96pWlpu-N62rrwXXNpjZoW98QOsC-tBuv2qp3LeCJ-LL6TineLTxa7wJvMgxmpLhkXSk-GmBdV0z9_IJ6G5c08nbM4lPVoErFrGpl2RRzTuT1lMLOpL0uQR8S0WsimhPRvxPRyKJPT9bLZkfur-RPBEzAlZC5Nd5Q-jf7P7aP47WYdQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2748040717</pqid></control><display><type>article</type><title>The role of the resistive index in predicting testicular atrophy after orchiopexy in unilateral undescended testis</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Ok, Fesih ; Durmus, Emrullah ; Ayaz, Muzaffer</creator><creatorcontrib>Ok, Fesih ; Durmus, Emrullah ; Ayaz, Muzaffer</creatorcontrib><description><![CDATA[Purpose
One of the most important complications of undescended testis (UDT) surgery is testicular atrophy (TA). We aimed to investigate the factors associated with TA in children who underwent orchiopexy for unilateral UDT.
Methods
The data of 215 patients aged < 15 years who underwent orchiopexy for unilateral UDT between November 2019 and September 2022 were analyzed retrospectively. Clinical, radiological, surgical, and follow-up findings were recorded.
Results
TA was observed in 29 (13.5%) patients. Mean resistive index (RI) values were 0.44 ± 0.06, 0.54 ± 0.09 and 0.69 ± 0.1 in low, middle and high testicular locations, respectively, and intratesticular RI increased significantly as the testis location raised (
p
< 0.001). After orchiopexy, the mean testis volume ratio (TVR) increased significantly (0.63 ± 0.13 vs. 0.77 ± 0.15,
p
< 0.001). Besides, the mean RI values decreased significantly in the postoperative follow-up (0.53 ± 0.12 vs. 0.47 ± 0.13,
p
< 0.001). In multivariate regression analysis, testicular high location (OR 4.332, 95% CI 2.244–6.578,
p
= 0.002), deferens-epididymal anomaly (OR 3.134, 95% CI 1.345–7.146,
p
= 0.021), TVR ≤ 0.5 (OR 5.679, 95% CI 2.953–12.892,
p
< 0.001) and RI ≥ 0.6 (OR 7.158, 95% CI 3.936–14.569,
p
< 0.001) were independent predictive factors for TA after orchiopexy.
Conclusion
Higher testis location, deferens-epididymis anomaly, preoperative TVR and RI were independent predictive factors for TA after orchiopexy in unilateral UDT. The results of the study will help surgeons to predict TA before orchiopexy.]]></description><identifier>ISSN: 1437-9813</identifier><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-022-05336-3</identifier><identifier>PMID: 36480074</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Atrophy ; Child ; Cryptorchidism - diagnostic imaging ; Cryptorchidism - surgery ; Humans ; Male ; Medicine ; Medicine & Public Health ; Original Article ; Pediatric Surgery ; Pediatrics ; Performance evaluation ; Regression analysis ; Retrospective Studies ; Risk factors ; Surgery ; Testes ; Ultrasonic imaging ; Velocity</subject><ispartof>Pediatric surgery international, 2022-12, Vol.39 (1), p.38-38, Article 38</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-a7f523e88d5f1d67b0cff797ce599ad84cf0d85b4a3c6f5e3d0391cbf7629d603</cites><orcidid>0000-0001-5021-8495 ; 0000-0002-6492-3053 ; 0000-0002-8785-9867</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00383-022-05336-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00383-022-05336-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36480074$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ok, Fesih</creatorcontrib><creatorcontrib>Durmus, Emrullah</creatorcontrib><creatorcontrib>Ayaz, Muzaffer</creatorcontrib><title>The role of the resistive index in predicting testicular atrophy after orchiopexy in unilateral undescended testis</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><addtitle>Pediatr Surg Int</addtitle><description><![CDATA[Purpose
One of the most important complications of undescended testis (UDT) surgery is testicular atrophy (TA). We aimed to investigate the factors associated with TA in children who underwent orchiopexy for unilateral UDT.
Methods
The data of 215 patients aged < 15 years who underwent orchiopexy for unilateral UDT between November 2019 and September 2022 were analyzed retrospectively. Clinical, radiological, surgical, and follow-up findings were recorded.
Results
TA was observed in 29 (13.5%) patients. Mean resistive index (RI) values were 0.44 ± 0.06, 0.54 ± 0.09 and 0.69 ± 0.1 in low, middle and high testicular locations, respectively, and intratesticular RI increased significantly as the testis location raised (
p
< 0.001). After orchiopexy, the mean testis volume ratio (TVR) increased significantly (0.63 ± 0.13 vs. 0.77 ± 0.15,
p
< 0.001). Besides, the mean RI values decreased significantly in the postoperative follow-up (0.53 ± 0.12 vs. 0.47 ± 0.13,
p
< 0.001). In multivariate regression analysis, testicular high location (OR 4.332, 95% CI 2.244–6.578,
p
= 0.002), deferens-epididymal anomaly (OR 3.134, 95% CI 1.345–7.146,
p
= 0.021), TVR ≤ 0.5 (OR 5.679, 95% CI 2.953–12.892,
p
< 0.001) and RI ≥ 0.6 (OR 7.158, 95% CI 3.936–14.569,
p
< 0.001) were independent predictive factors for TA after orchiopexy.
Conclusion
Higher testis location, deferens-epididymis anomaly, preoperative TVR and RI were independent predictive factors for TA after orchiopexy in unilateral UDT. The results of the study will help surgeons to predict TA before orchiopexy.]]></description><subject>Atrophy</subject><subject>Child</subject><subject>Cryptorchidism - diagnostic imaging</subject><subject>Cryptorchidism - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Performance evaluation</subject><subject>Regression analysis</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Surgery</subject><subject>Testes</subject><subject>Ultrasonic imaging</subject><subject>Velocity</subject><issn>1437-9813</issn><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9UcFu1TAQtBCIlsIPcECWuHBJ2WSTODlWVYFKlbiUs-Vnr_tc5cWpnVR9f999pEDVA5f1yDszu9oR4mMJpyWA-poBsMMCqqqABrEt8JU4LmtURd-V-PoZPhLvcr4FgA7b_q04wrbu2KE-Ful6SzLFgWT0cj5gyiHP4Z5kGB09cJVTIhfsHMYbORP37DKYJM2c4rTdS-NnSjImuw1xoof9QbGMYTD8bQaGjrIlrm5V5_fijTdDpg9P74n49e3i-vxHcfXz--X52VVhq6adC6N8UyF1nWt86Vq1Aeu96pWlpu-N62rrwXXNpjZoW98QOsC-tBuv2qp3LeCJ-LL6TineLTxa7wJvMgxmpLhkXSk-GmBdV0z9_IJ6G5c08nbM4lPVoErFrGpl2RRzTuT1lMLOpL0uQR8S0WsimhPRvxPRyKJPT9bLZkfur-RPBEzAlZC5Nd5Q-jf7P7aP47WYdQ</recordid><startdate>20221208</startdate><enddate>20221208</enddate><creator>Ok, Fesih</creator><creator>Durmus, Emrullah</creator><creator>Ayaz, Muzaffer</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5021-8495</orcidid><orcidid>https://orcid.org/0000-0002-6492-3053</orcidid><orcidid>https://orcid.org/0000-0002-8785-9867</orcidid></search><sort><creationdate>20221208</creationdate><title>The role of the resistive index in predicting testicular atrophy after orchiopexy in unilateral undescended testis</title><author>Ok, Fesih ; Durmus, Emrullah ; Ayaz, Muzaffer</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-a7f523e88d5f1d67b0cff797ce599ad84cf0d85b4a3c6f5e3d0391cbf7629d603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Atrophy</topic><topic>Child</topic><topic>Cryptorchidism - diagnostic imaging</topic><topic>Cryptorchidism - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Performance evaluation</topic><topic>Regression analysis</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Surgery</topic><topic>Testes</topic><topic>Ultrasonic imaging</topic><topic>Velocity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ok, Fesih</creatorcontrib><creatorcontrib>Durmus, Emrullah</creatorcontrib><creatorcontrib>Ayaz, Muzaffer</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric surgery international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ok, Fesih</au><au>Durmus, Emrullah</au><au>Ayaz, Muzaffer</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of the resistive index in predicting testicular atrophy after orchiopexy in unilateral undescended testis</atitle><jtitle>Pediatric surgery international</jtitle><stitle>Pediatr Surg Int</stitle><addtitle>Pediatr Surg Int</addtitle><date>2022-12-08</date><risdate>2022</risdate><volume>39</volume><issue>1</issue><spage>38</spage><epage>38</epage><pages>38-38</pages><artnum>38</artnum><issn>1437-9813</issn><issn>0179-0358</issn><eissn>1437-9813</eissn><abstract><![CDATA[Purpose
One of the most important complications of undescended testis (UDT) surgery is testicular atrophy (TA). We aimed to investigate the factors associated with TA in children who underwent orchiopexy for unilateral UDT.
Methods
The data of 215 patients aged < 15 years who underwent orchiopexy for unilateral UDT between November 2019 and September 2022 were analyzed retrospectively. Clinical, radiological, surgical, and follow-up findings were recorded.
Results
TA was observed in 29 (13.5%) patients. Mean resistive index (RI) values were 0.44 ± 0.06, 0.54 ± 0.09 and 0.69 ± 0.1 in low, middle and high testicular locations, respectively, and intratesticular RI increased significantly as the testis location raised (
p
< 0.001). After orchiopexy, the mean testis volume ratio (TVR) increased significantly (0.63 ± 0.13 vs. 0.77 ± 0.15,
p
< 0.001). Besides, the mean RI values decreased significantly in the postoperative follow-up (0.53 ± 0.12 vs. 0.47 ± 0.13,
p
< 0.001). In multivariate regression analysis, testicular high location (OR 4.332, 95% CI 2.244–6.578,
p
= 0.002), deferens-epididymal anomaly (OR 3.134, 95% CI 1.345–7.146,
p
= 0.021), TVR ≤ 0.5 (OR 5.679, 95% CI 2.953–12.892,
p
< 0.001) and RI ≥ 0.6 (OR 7.158, 95% CI 3.936–14.569,
p
< 0.001) were independent predictive factors for TA after orchiopexy.
Conclusion
Higher testis location, deferens-epididymis anomaly, preoperative TVR and RI were independent predictive factors for TA after orchiopexy in unilateral UDT. The results of the study will help surgeons to predict TA before orchiopexy.]]></abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36480074</pmid><doi>10.1007/s00383-022-05336-3</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-5021-8495</orcidid><orcidid>https://orcid.org/0000-0002-6492-3053</orcidid><orcidid>https://orcid.org/0000-0002-8785-9867</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1437-9813 |
| ispartof | Pediatric surgery international, 2022-12, Vol.39 (1), p.38-38, Article 38 |
| issn | 1437-9813 0179-0358 1437-9813 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2753303442 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Atrophy Child Cryptorchidism - diagnostic imaging Cryptorchidism - surgery Humans Male Medicine Medicine & Public Health Original Article Pediatric Surgery Pediatrics Performance evaluation Regression analysis Retrospective Studies Risk factors Surgery Testes Ultrasonic imaging Velocity |
| title | The role of the resistive index in predicting testicular atrophy after orchiopexy in unilateral undescended testis |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-24T05%3A35%3A51IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20role%20of%20the%20resistive%20index%20in%20predicting%20testicular%20atrophy%20after%20orchiopexy%20in%20unilateral%20undescended%20testis&rft.jtitle=Pediatric%20surgery%20international&rft.au=Ok,%20Fesih&rft.date=2022-12-08&rft.volume=39&rft.issue=1&rft.spage=38&rft.epage=38&rft.pages=38-38&rft.artnum=38&rft.issn=1437-9813&rft.eissn=1437-9813&rft_id=info:doi/10.1007/s00383-022-05336-3&rft_dat=%3Cproquest_cross%3E2748040717%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2748040717&rft_id=info:pmid/36480074&rfr_iscdi=true |