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Prosedur orkidopeksi Stephen-Fowler pada pasien dewasa dengan kriptorkidisme abdominal bilateral

Abstract

Introduction: The incidence of cryptorchidism at one year of age is around 0.8%, of which one third of these patients experience bilateral cryptorchidism. Therefore, the diagnostic and therapeutic procedures of cryptorchidism are always developed and evaluated.

Case report: We report the case of a 28-year-old patient with a diagnosis of bilateral abdominal cryptorchidism who underwent laparoscopic diagnostics followed by a right orchidopexy procedure and a two-stage Stephen-Fowler procedure in the left testicle. The second procedure is carried out six months after the first surgery. On laboratory examination two months after surgery normal results were found in the parameters of beta-Human Chorionic Gonadotropin (β-HCG), alpha fetoprotein, and testosterone. On Doppler ultrasonography examination at one month after the second surgery, both testicles had good vascularization.

Conclusion: In cases of bilateral cryptorchidism found at the age after puberty, orchidopexy action must be considered as therapy.

 

Pendahuluan: Insiden kriptorkidisme pada usia satu tahun adalah sekitar 0,8%, dimana sepertiga dari pasien ini mengalami kriptorkidisme bilateral. Oleh karena itu, prosedur diagnosis dan terapi kriptorkidisme senantiasa dikembangkan dan dievaluasi.

Laporan Kasus: Kami melaporkan kasus seorang pasien berusia 28 tahun dengan diagnosis kriptorkidisme abdominal bilateral yang dilakukan laparoskopik diagnostik diikuti dengan prosedur orkidopeksi dekstra dan prosedur Stephen-Fowler dua tahap pada testes sinistra. Prosedur kedua dilakukan enam bulan setelah pembedahan pertama. Pada pemeriksaan laboratorium dua bulan setelah pembedahan ditemukan hasil normal pada parameter beta-Human Chorionic Gonadotropin (β-HCG), alfa feto protein, dan testosterone. Pada pemeriksaan dengan menggunakan ultrasonografi Doppler satu bulan setelah pembedahan kedua didapatkan kedua testikel memiliki vaskularisasi yang baik.

Kesimpulan: Pada kasus-kasus kriptorkidisme bilateral yang ditemukan pada usia setelah usia pubertas, tindakan orkidopeksi haruslah dipertimbangkan sebagai terapi.

References

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How to Cite

Duarsa, G. W. K., Hadisaputra, I. H. ., Santosa, K. B. ., & Ryalino, C. . (2022). Prosedur orkidopeksi Stephen-Fowler pada pasien dewasa dengan kriptorkidisme abdominal bilateral. Medicina, 53(3), 177–181. https://doi.org/10.15562/medicina.v53i3.745

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Gede Wirya Kusuma Duarsa
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Ivan Hugo Hadisaputra
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Kadek Budi Santosa
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Christopher Ryalino
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Medicina Journal