Although fertility is decreased after cryptorchidism, the importance of risk factors, including parencymal testicular suture, is unknown.
The aim of this study was to examine the relationship between parencymal testicular suture and failure to conceive a child for 1 year or longer among formerly cryptorchid men.
Men who underwent orchidopexy between 1955 and 1972 at the Children's Hospital of Pittsburgh In=619) were surveyed by questionnaire and their medical records reviewed.
Only the men who attempted to conceive a child In=387) are included.
Logistic regression analysis determined significant risk factors for infertility.
Testicular suture was strongly related to infertility (RR, 7.56 ; 95% CI, 1.66,34.39) as were bilateral cryptorchidism (RR, 5.51 ; 95% CI, 1.58,19.24), varicocele (RR, 4.72 ; 95% CI, 1.42,15.75), hormone treatment before surgery (RR, 3.69 ; 95% Cl, 1.22,11.11), and partner conception problem (RR, 3.32 ; 95% Cl, 1.11,9.90).
Testicular suture was a potent independent determinant of infertility among formerly cryptorchid men who have orchidopexy.
Bilateral cryptorchidism, hormone treatment, varicocele, and partner conception problems also were associated with increased infertility.
Mots-clés Pascal : Cryptorchidie, Orchidopexie, Testicule, Suture chirurgicale, Stérilité, Complication, Facteur risque, Epidémiologie, Etude cohorte, Analyse statistique, Questionnaire, Mâle, Enfant, Homme, Adulte, Appareil génital mâle pathologie, Testicule pathologie, Malformation, Maladie congénitale, Chirurgie
Mots-clés Pascal anglais : Cryptorchidism, Orchiopexy, Testicle, Suturation, Sterility, Complication, Risk factor, Epidemiology, Cohort study, Statistical analysis, Questionnaire, Male, Child, Human, Adult, Male genital diseases, Testicular diseases, Malformation, Congenital disease, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0092359
Code Inist : 002B25K. Création : 31/05/1999.