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Showing 2 results for Cryptorchidism

, , , ,
Volume 1, Issue 1 (5-2013)
Abstract

Background and objectives: Cryptorchidism or undescended testicle, with a prevalence of 33 percent in preterm and 3-5 percent in term infants, is the most common congenital abnormality in newborn boys. The present study aimed to assess the recovery rate and urinary tract infection among infants with cryptorchidism during the first 15 months of their life.

       

 Methods: This cross-sectional descriptive study was conducted on 47 infants with cryptorchidism in Zahedan city (Iran) in 2012. The infants’ birth weight, preterm/term birth, delivery method, and affected testicle along with maternal age, history of urinary tract infection during pregnancy, and number of pregnancies were collected. Information about the infants’ urinary tract infection and recovery from cryptorchidism was collected through observations and trimonthly phone calls until the 15th month after birth. Percentage and mean were used for data analysis.

 Results: Of the 47 studied infants, 63.82 percent were premature, 59.57 percent had right-side cryptorchidism, and 80.60 percent developed urinary tract infection at least once. The highest incidence of urinary tract infection (29.8 percent) was seen at the age of three months old. The majority of infants (91.5 percent) recovered during the course of the study and the recovery rate at the fifth, 10th, and 15th months were 31.9 percent, 38.3 percent and 21.3 percent,respectively.

 Conclusion: This study revealed the high prevalence of urinary tract infection among infants with cryptorchidism. It also showed that most infants with cryptorchidism recover within 15 months of age.


Omid Majidian , Farzin Valizade ,
Volume 14, Issue 1 (1-2026)
Abstract

Background: Metachronous testicular cancer, defined as the development of a tumor in the remaining testis, is a rare phenomenon. It is exceedingly rare when both tumors share identical histology (seminoma) and the patient has a history of bilateral cryptorchidism. The clinical significance of this case lies in determining the optimal duration of surveillance for such patients.
Case Presentation: A 54-year-old man with a history of bilateral orchiopexy in childhood presented with a left testicular mass at age 50. He underwent left radical orchiectomy, and pathological examination revealed classical seminoma. The left testis was located in the inguinal canal. The patient was regularly followed with ultrasound for four years, during which no abnormalities were detected. At age 54, a new hypoechoic mass measuring 11×9 mm was identified in the right testis, which was also located in the inguinal canal. The patient underwent right radical orchiectomy, and pathological examination again confirmed classical seminoma with the same immunohistochemical pattern. Tumor markers remained within normal limits (LDH=347, BHCG<5, AFP=2.8).
Conclusion: Metachronous seminoma with identical histology may occur despite regular follow-up. Therefore, long-term, meticulous surveillance is essential for patients with a history of cryptorchidism and testicular cancer.
 


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