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Update in Urology, Basic Research in Urology • IBJUInt. braz j urol 48 (1) • Jan-Feb 2022 • https://doi.org/10.1590/S1677-5538.IBJU.2022.01.06   copy
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Editorial Comment: Ascending testis: A congenital predetermined condition

Authorship SCIMAGO INSTITUTIONS RANKINGS

Nasib Alchoikani 1 1 Oxford University Hospitals NHS Foundation Trust: John Radcliffe Hospital, Department of Paediatric Surgery; , Khaled Ashour 2 2 Oxford University Hospitals NHS Foundation Trust: John Radcliffe Hospital, Department of Paediatric Surgery, UK; Alexandria University Hospital, Department of Paediatric Surgery, Egypt

J Pediatr Urol. 2021 Apr;17(2):192.e1-192.e3.

COMMENT

In this interesting paper the authors studied the intra-operative findings of patients underwent orchidopexy for ascending testes and concluded that the patients with ascending testes seem to share similar intra-operative findings with patients who have true undescended testes. The authors show the presence of abnormal attachment of the gubernaculum and epididymal anomalies in the groups studied. The gubernaculum seems to be the most important anatomical structure in the testicular migration process, by means of contraction and shortening, thus imposing traction strength on the testis and facilitates the transition of the testis by through the inguinal canal (11 Favorito LA, Costa SF, Julio-Junior HR, Sampaio FJ. The importance of the gubernaculum in testicular migration during the human fetal period. Int Braz J Urol. 2014;40:722-9.). Undescended testis can be associated with several anatomical anomalies but the abnormalities in gubernaculum insertions and the presence of epididymal anomalies of disjunction and atresia are among the most common (22 Favorito LA, Sampaio FJ, Javaroni V, Cardoso LE, Costa WS. Proximal insertion of gubernaculum testis in normal human fetuses and in boys with cryptorchidism. J Urol. 2000164(3 Pt 1):792-4.). During the surgery of undescended testis, specially in those with abdominal position, the knowledge of the testicular vascularization are very useful to preserver the testis (33 Sampaio FJ, Favorito LA, Freitas MA, Damião R, Gouveia E. Arterial supply of the human fetal testis during its migration. J Urol. 1999;161:1603-5.,44 Benzi TC, Logsdon NT, Sampaio FJB, Favorito LA. Testicular arteries anatomy applied to fowler-sthephens surgery in high undescended testis - a narrative review. Int Braz J Urol. 2022;48:8-17.). This paper indicates that that ascending testis should be considered a congenital predetermined condition and during the child growth stay in a higher position.

REFERENCES

  • 1
    Favorito LA, Costa SF, Julio-Junior HR, Sampaio FJ. The importance of the gubernaculum in testicular migration during the human fetal period. Int Braz J Urol. 2014;40:722-9.
  • 2
    Favorito LA, Sampaio FJ, Javaroni V, Cardoso LE, Costa WS. Proximal insertion of gubernaculum testis in normal human fetuses and in boys with cryptorchidism. J Urol. 2000164(3 Pt 1):792-4.
  • 3
    Sampaio FJ, Favorito LA, Freitas MA, Damião R, Gouveia E. Arterial supply of the human fetal testis during its migration. J Urol. 1999;161:1603-5.
  • 4
    Benzi TC, Logsdon NT, Sampaio FJB, Favorito LA. Testicular arteries anatomy applied to fowler-sthephens surgery in high undescended testis - a narrative review. Int Braz J Urol. 2022;48:8-17.

Publication Dates

  • Publication in this collection
    12 Jan 2022
  • Date of issue
    Jan-Feb 2022
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