The Role of Cremaster Muscle as a Cause of Ascending Testis after Inguinal Hernia/Hydrocele Repair

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Salimi Amrollah; Rashidinia Shervin; Shahmoradi sara; Eftekhari Seyed Shahin

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Journal Paper

Paper Information

Journal: Journal of Pediatric Perspectives Year:2017 | Volume:5 | Issue:5 (41) Page(s): 4919-4928

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Information Journal Paper

Title

The Role of Cremaster Muscle as a Cause of Ascending Testis after Inguinal Hernia/Hydrocele Repair

Author(s)

Salimi Amrollah | Rashidinia Shervin | Shahmoradi sara | Eftekhari Seyed Shahin | Issue Writer Certificate

Keywords

Ascending testis

Cremaster muscle

Inguinal hernia

Abstract

Background Ascending testis (AT) is one of the rare but serious complication that may occurs following Inguinal hernia/hydrocele repair. We aimed to review our more than 7 years’ experience and discuss the possible mechanism through which the AT possibly occurs following Inguinal hernia/hydrocele repair. Materials and Methods A retrospective analysis of 7, 212 boys who had undergone Inguinal hernia/hydrocele repair between March 2009 and April 2016 was conducted. Exclusion criteria were: undescended testis, misdiagnosed AT, and retractile testis. Two types of surgical procedures were performed based on the medical records: (1) transection of the hernia sac and processus vaginalis alone and (2) isolation of the vas deferens and testicular vessels and a global transection of the remaining structures. Subsequently, post-operative incidence of AT was compared across variables extracted from the medical records. Results Sixteen (0. 22%) patients were diagnosed with AT post operatively. AT incidence after Inguinal hernia/hydrocele repair was reported in approximately 0. 19% of the entire patient sample (in the 8491 hernia/hydrocele repairs). Comparison of AT incidence with the age at initial operation showed significant increase at the age of one year or less (P =0. 017). In addition, AT incidence was significantly higher in the patients for whom only the sac/processus vaginalis was transected rather than the patients who underwent hernia/hydrocele repair with isolation of the vas deferens and testicular vessels (0. 06% vs. 0. 27%, respectively, P =0. 023). Other subgroup analyses remained non-significant. Conclusion We conclude that transection of the Cremaster muscle might decrease the incidence of Ascending testis following Inguinal hernia/ hydrocele repair.

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APA: Copy

Salimi, Amrollah, Rashidinia, Shervin, Shahmoradi, sara, & Eftekhari, Seyed Shahin. (2017). The Role of Cremaster Muscle as a Cause of Ascending Testis after Inguinal Hernia/Hydrocele Repair. INTERNATIONAL JOURNAL OF PEDIATRICS, 5(5 (41)), 4919-4928. SID. https://sid.ir/paper/337529/en

Vancouver: Copy

Salimi Amrollah, Rashidinia Shervin, Shahmoradi sara, Eftekhari Seyed Shahin. The Role of Cremaster Muscle as a Cause of Ascending Testis after Inguinal Hernia/Hydrocele Repair. INTERNATIONAL JOURNAL OF PEDIATRICS[Internet]. 2017;5(5 (41)):4919-4928. Available from: https://sid.ir/paper/337529/en

IEEE: Copy

Amrollah Salimi, Shervin Rashidinia, sara Shahmoradi, and Seyed Shahin Eftekhari, “The Role of Cremaster Muscle as a Cause of Ascending Testis after Inguinal Hernia/Hydrocele Repair,” INTERNATIONAL JOURNAL OF PEDIATRICS, vol. 5, no. 5 (41), pp. 4919–4928, 2017, [Online]. Available: https://sid.ir/paper/337529/en

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