Article citationsMore>>
Ritzen, E.M., Bergh, A., Bierknes, R., Christiansen, P., Cortes, D., Haugen, S.E., Jorgensen, N., Kollin, C., Lindahl, S., Lackgren, G., Main, K.M., Nordenskjold, A., Raipert-De Meyts, E., Soder, O., Taskinen, S., Thorsson, A., Thorup, J., Toppari, J. and Virtanen, H. (2007) Nordic Consensus on Treatment of Undescended Testes. Acta Paediatrica, 96, 638-643.
http://dx.doi.org/10.1111/j.1651-2227.2006.00159.x
has been cited by the following article:
-
TITLE:
High Undescended Testis Treatment with Distal Espermatic Vessel Ligation (Koff-Sethi Technique)
AUTHORS:
Carlos A. F. Molina, Andrey G. Estevanato, Marcelo F. Cassini, Murilo F. Andrade, Silvio Tucci
KEYWORDS:
Cryptorchidism, Orchiopexy, Ischemia, Reperfusion
JOURNAL NAME:
Surgical Science,
Vol.5 No.6,
June
23,
2014
ABSTRACT:
Objectives: To evaluate the results
obtained with the technique of distal spermatic vessel ligation in children with
upper or intra-abdominal undescended testis. Methods: Analysis of cryptorchid
patients treated with Koff-Sethi technique for orquiopexy. Patient series: 15
children with uni- or bilateral cryptorchidism. Postoperative gonad viability
was evaluated on the basis of clinical data, physical examination and
testicular scintigraphy. Results: Mean age was 5.4 years. Cryptorchidism was
unilateral in 10/15 (67%)
patients and bilateral in 5/15 (33%).
The total number of testicles operated was 25. Of these, 19/25 (76%) required
ligation of the spermatic vessels performed according to the Koff-Sethi
technique. Eighteen (98%) gonads remained well positioned in the scrotum and
one remained in a high position. Late evaluation revealed that 14/19 (74%) testicles had normal consistency
and volume upon palpation and 3/19 (16%)
were atrophic. Two patients did not return for late reevaluation. Scintigraphy
demonstrated good testicular perfusion in 14/17 (82%) gonads evaluated. The
patient with bilateral ligation of the spermatic vessels had good perfusion in
both gonads. Conclusions: Distal spermatic vessel ligation (Koff-Sethi
technique) is safe and useful for the treatment of high cryptorchid testicles.
Related Articles:
-
Moawwad E. A. El-Mikkawy
-
Bruno Otero Sutti, Luciana Lopes Guimarães, Roberto Pereira Borges, Elisabete de Santis Braga
-
Dikima D. Bibelayi, Albert S. Lundemba, Philippe V. Tsalu, Pitchouna I. Kilunga, Jules M. Tshishimbi, Zéphirin G. Yav
-
Casimir Komenan
-
Yuka Uemura, Sachiko Sugimoto, Katsuyoshi Matsunami, Hideaki Otsuka, Yoshio Takeda