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Skurðaðgerðir við launeista á Barnaspítala Hringsins 1970-1993

Gunnarsdottir, Anna LU ; Freysdóttir, D.; Bjarnason, G.; Rósmundsson, T.; Magnússon, J. and Guðbjartsson, T. (2003) In Laeknabladid 89(2). p.119-123
Abstract
Objective: Cryptorchidism is a common congenital genito-urological anomali in males with increased risk of infertility and testicular cancer. In this retrospective study the results of operations for undescended testis at Landspitalinn University Hospital were reviewed with special emphasis on patients diagnosed with testicular cancer later in life. Material and methods: The study includes 593 males with undescended testis who were operated on between 1970 and 1993. Information was gathered from hospital records, including birth-weight, age at diagnosis and operation, localization of the testes and complications to surgery. Information on patients diagnosed with testicular cancer was aquired from the Icelandic Cancer Registry. Results: The... (More)
Objective: Cryptorchidism is a common congenital genito-urological anomali in males with increased risk of infertility and testicular cancer. In this retrospective study the results of operations for undescended testis at Landspitalinn University Hospital were reviewed with special emphasis on patients diagnosed with testicular cancer later in life. Material and methods: The study includes 593 males with undescended testis who were operated on between 1970 and 1993. Information was gathered from hospital records, including birth-weight, age at diagnosis and operation, localization of the testes and complications to surgery. Information on patients diagnosed with testicular cancer was aquired from the Icelandic Cancer Registry. Results: The average birth-weight was 3461 g, including 58 boys (10%) with low birth-weight (</=2500 g). Age at diagnosis was 3.0 year (range 0-14 year) and at operation 7.5 year (range 0-51 year). The undescended testis was more common on the right side (61%) (p<0.01) and 18% had bilateral undescended testis. In 50% of the cases the testis was located in the inguinal canal, intra-abdominal in 10% and 34% were ectopic. Complications to surgery was seen in 29 patients (5%), with hematoma (2.7%) and wound infection (1.2%) as the most common ones. Majority (52%) of the boys had inguinal hernia. Out of 593 males in this study, two have been diagnosed with testicular cancer (mean follow-up time 23 years), both with embryonal carcinoma, 13 and 14 years efter surgery (0.3%). Conclusion: The surgical results are good in this study with a low complication-rate. Age at diagnosis is still high (3.0 year) but is decreasing. Age at operation is even higher (7.5 year) underscoring a significant delay in treatment, but only 5.4% of patients were operated on before the age of two as international guidelines recommend. In our cohort the frequency of testicular cancer was only 0.3% which is very low. Informations about infertility was not available in this study. (Less)
Please use this url to cite or link to this publication:
author
organization
alternative title
[The results of surgical treatment for cryptorchidism at Landspitalinn, 1970-1993.]
publishing date
type
Contribution to journal
publication status
published
subject
in
Laeknabladid
volume
89
issue
2
pages
119 - 123
publisher
Læknafélag Íslands, Læknafélag Reykjavíkur
external identifiers
  • pmid:16819085
ISSN
0023-7213
language
Icelandic
LU publication?
yes
id
50fb6094-2d52-413b-bcb2-08983f59cbbd (old id 1126379)
alternative location
http://www.laeknabladid.is/2003/2/fraedigreinar//nr/1182/
date added to LUP
2008-06-02 08:58:05
date last changed
2016-04-16 05:30:37
@article{50fb6094-2d52-413b-bcb2-08983f59cbbd,
  abstract     = {Objective: Cryptorchidism is a common congenital genito-urological anomali in males with increased risk of infertility and testicular cancer. In this retrospective study the results of operations for undescended testis at Landspitalinn University Hospital were reviewed with special emphasis on patients diagnosed with testicular cancer later in life. Material and methods: The study includes 593 males with undescended testis who were operated on between 1970 and 1993. Information was gathered from hospital records, including birth-weight, age at diagnosis and operation, localization of the testes and complications to surgery. Information on patients diagnosed with testicular cancer was aquired from the Icelandic Cancer Registry. Results: The average birth-weight was 3461 g, including 58 boys (10%) with low birth-weight (&lt;/=2500 g). Age at diagnosis was 3.0 year (range 0-14 year) and at operation 7.5 year (range 0-51 year). The undescended testis was more common on the right side (61%) (p&lt;0.01) and 18% had bilateral undescended testis. In 50% of the cases the testis was located in the inguinal canal, intra-abdominal in 10% and 34% were ectopic. Complications to surgery was seen in 29 patients (5%), with hematoma (2.7%) and wound infection (1.2%) as the most common ones. Majority (52%) of the boys had inguinal hernia. Out of 593 males in this study, two have been diagnosed with testicular cancer (mean follow-up time 23 years), both with embryonal carcinoma, 13 and 14 years efter surgery (0.3%). Conclusion: The surgical results are good in this study with a low complication-rate. Age at diagnosis is still high (3.0 year) but is decreasing. Age at operation is even higher (7.5 year) underscoring a significant delay in treatment, but only 5.4% of patients were operated on before the age of two as international guidelines recommend. In our cohort the frequency of testicular cancer was only 0.3% which is very low. Informations about infertility was not available in this study.},
  author       = {Gunnarsdottir, Anna and Freysdóttir, D. and Bjarnason, G. and Rósmundsson, T. and Magnússon, J. and Guðbjartsson, T.},
  issn         = {0023-7213},
  language     = {ice},
  number       = {2},
  pages        = {119--123},
  publisher    = {Læknafélag Íslands, Læknafélag Reykjavíkur},
  series       = {Laeknabladid},
  title        = {Skurðaðgerðir við launeista á Barnaspítala Hringsins 1970-1993},
  volume       = {89},
  year         = {2003},
}