| Ultrasound examination of paediatric testicles after laparoscopic laser dissection of internal testicular vessels in cryptorchism. | |
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MedLine Citation:
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PMID: 12469259 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To evaluate the growth of testicles, their sonographic structure and the recovery of testicular perfusion through collateral vessels after preliminary laparoscopic laser dissection (PLLD) of the internal spermatic artery in cryptorchism. MATERIALS AND METHODS: The postoperative position, the volume increase, the structural and vascular abnormalities and the incidence of epididymal abnormalities were evaluated with ultrasound in 32 children (mean age: 6.5 +/- 1.34 years) after PLLD. The intratesticular blood flow and the flow-in anastomoses from the deferential and cremasteric arteries were assessed using colour and power Doppler US (7.5 MHz transducer). RESULTS: All testicles were permanently positioned in the scrotum and showed growth after surgical treatment. None of the testes showed sonographic signs of atrophy. There were no clear differences in intratesticular perfusion compared to the non-operated testis. A collateral blood flow in the deferential artery was found in 44 cases by colour and/or power Doppler US. A perfusion to the lower testicular pole was detected in 29 cases by power Doppler. Intraoperatively, 12 epididymal inversions were eliminated so that an elongated epididymis was sonographically visualised in three testes. CONCLUSION: Ultrasound can be used for the postoperative control of the testicular structure and the volume increase as well as detection of the flow-in anastomoses. The collateral blood supply after PLLD was sufficient for subsequent growth of testicles in all cases. |
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Authors:
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E Manak; J Waldschmidt; T Albrecht; K-J Wolf |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift für Kinderchirurgie Volume: 12 ISSN: 0939-7248 ISO Abbreviation: Eur J Pediatr Surg Publication Date: 2002 Oct |
Date Detail:
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Created Date: 2002-12-06 Completed Date: 2003-04-03 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9105263 Medline TA: Eur J Pediatr Surg Country: Germany |
Other Details:
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Languages: eng Pagination: 322-6 Citation Subset: IM |
Affiliation:
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Department of Radiology and Nuclear Medicine, Benjamin Franklin Hospital, Free University, Berlin, Germany. service@pkp18.belpak.minsk.by |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Child Child, Preschool Cryptorchidism / surgery* Humans Infant Laparoscopy Laser Therapy Male Postoperative Care* Regional Blood Flow Testis / blood supply*, ultrasonography* Ultrasonography, Doppler, Color / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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