Summary
Exocrine testicular function was determined in 30 prepubertal and pubertal patients who had undergone detorsion and fixation for unilateral torsion of the testis, in 46 men who had undergone unilateral orchidopexy, and in 16 patients with unilateral absence of the testis. In 42 patients with seminomas and non-seminomatous testicular tumors, sperm analyses were performed before orchiectomy. The semen analyses in patients with unilateral cryptorchidism were normal in 13, doubtful in 23 and pathological in 10. The semen quality in patients with torsion was normal in 15, doubtful in 3 and pathological in 12. Of the 16 patients with monorchidism, 14 had normal sperm analyses. Of the 42 patients with seminomas and non-seminomatous testicular tumors, only two patients with HCG-negative seminomas had normal sperm analyses before orchiectomy. In patients with doubtful and pathological sperm analyses after testicular torsion and unilateral orchidopexy, elevated follicle-stimulating-hormone levels were observed. HCG-positive testicular tumors showed decreased FSH levels but elevated 17-β-estradiol and prolactin levels.
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Supported by the “Fonds zur Förderung der wissenschaftlichen Forschung”, Austria, P 4030
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Scheiber, K., Mikuz, G. & Bartsch, G. Exocrine and endocrine functions in unilateral testicular disease. World J Urol 2, 251–254 (1984). https://doi.org/10.1007/BF00326697
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DOI: https://doi.org/10.1007/BF00326697