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Orchiopexy:one procedure,two diagnoses-different male infertility outcomes

Asian Journal of Andrology 2024年第5期26卷 472-478页

作者： nitza heiman newman Idan Farber Eitan Lunenfeld Atif Zeadna Iris Har Vardi Zaki Assi Faculty of Health Sciences Ben Gurion University of the NegevBeer Sheva 84105Israel Department of Pediatric Surgery Soroka University Medical CenterBeer Sheva 84101Israel Adelson School of Medicine Ariel UniversityAriel 40700Israel IVF Unit Diviation of Obstetrics and GynecologySoroka University Medical CenterBeer Sheva 84010Israel

Infertility,affecting one in six couples,is often related to the male partner’s congenital and/or environmental conditions or complications *** retrospective study examines the link between orchiopexy for undescended testicles(UDT)and testicular torsion(TT)in childhood and adult fertility as assessed through sperm *** study involved the analysis of semen samples from 7743 patients collected at Soroka University Medical Center(Beer Sheva,Israel)between January 2009 and December *** were classified into two groups based on sperm concentration:those with concentrations below 5×10^(6)sperm per ml(AS group)and those above(MN group).Medical records and surgical histories were reviewed,categorizing orchiopexies by surgical *** 140 individuals who had undergone pediatric surgery,83(59.3%)were placed in the MN group and 57(40.7%)in the AS group.A higher likelihood of being in the MN group was observed in Jewish compared to Arab patients(75.9%vs 24.1%,P=0.006).In cases of childhood UDT,45(78.9%)patients exhibited sperm concentrations below 5×10^(6)sperm per ml(P<0.001),and 66(76.7%)had undergone unilateral and 18(20.9%)bilateral *** orchiopexy was significantly associated with lower sperm concentration,total motility,and progressive motility than unilateral cases(P=0.014,P=0.001,and P=0.031,respectively).Multivariate analysis identified UDT as a weak risk factor for low sperm concentration(odds ratio[OR]:2.712,P=0.078),with bilateral UDT further increasing this risk(OR:6.314,P=0.012).Jewish ethnicity and TT diagnosis were associated with a reduced risk of sperm concentrations below 5×10^(6)sperm per *** findings indicate that initial diagnosis,surgical approach,and ethnicity markedly influence male fertility outcomes following pediatric orchiopexy.

关键词： male infertility orchiopexy sperm analysis testicular torsion undescended testicle

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