Consequences of bilateral cryptorchidism in adults

摘要

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 orchidopexywas 74months (range 24-138). Sperm count was 0.42x10(6) (SD +/- 0.64x10(6))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 2years does not prevent infertility. Sperm count and endocrine evaluation advocated after the treatment of bilateral cryptorchidism in all adult patients.