Testicular volume of boys after inguinal herniotomy: combined clinical and radiological follow-up

Abstract

A total of 173 boys aged 10 to 179 months with previous unilateral inguinal herniotomy were called back for follow-up. Clinical and ultrasound examinations of the scrotum were performed. The interval between operation and follow-up was 6 to 123 months (mean 31.68 months). One boy (0.58%) had a more than 50% and 10 (5.8%) had a more than 25% decrease in testicular volume on the operated side when compared with the non-operated side.

Diagnosis and classification of inguinal hernias

“…If so, we would be able to plan an individualized surgical intervention based on those findings [2,7,16,19,20]. Given the wide spectrum of possible and applied surgical methods-ranging from simple closure of the hernia opening with a resorbable suture [18] to reinforcement of the inguinal region with a large nonresorbable patch-depending on the findings, the monomanic application of one method would inevitably result in surgical over-or undertherapy of the condition, followed by either the subsequent formation of a recurrence or the acceptance of exorbitantly high risks or costs [1,9,17,[22][23][24]26].…”

Are There Adverse Effects of Herniorrhaphy Techniques on Testicular Perfusion? Evaluation by Color Doppler Ultrasonography

“…CDUS enables a defi nitive diagnosis of ischemia and decreased testicular circulation. A pitfall to remember in the diagnosis is that hypervascularity can occur [14] . Testicular and epididymal swelling along with a slightly decreased echogenicity have been reported to develop in the fi rst hours, although in most cases the hypoechogenicity occurs later, so that examining the testis 3 months after the operation seems to be more rational as was performed in our study [15,16] .…”

Impact of Herniorraphy Technique on Testicular Perfusion

“…Testicular and epididymal swelling along with a slightly decreased echogenicity have been reported to develop in the first hours, although in most cases the hypoechogenicity occurs later, so that examining the testis 3 months after the operation seems to be more rational. 1,18,19 CDUS found ischemia or infarction within 48 to 72 hours and re-examination at 6 months shows no change. 11 The initiating trauma is seen during dissection of the cord from the hernia sac whether direct or indirect.…”