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  1. Testicular suture : A significant risk factor for infertility among formerly cryptorchid Men.

    Article - En anglais

    Background/Purpose 

    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.

    Methods 

    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.

    Results 

    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).

    Conclusions 

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0092359

    Code Inist : 002B25K. Création : 31/05/1999.