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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 10 No. 1-2 (2019)

Histopathological study of the fertility components of undescended testes in boys of different age group

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2019
CONTENTSVolume 10Number 1 & 2January - July 2019
Editorial
The risk factors of gall stone formation in children
Md Kabirul Islam
01
Review Articles
Esophageal atresia and tracheoesophageal fistula: A review
Arihant Jain, Nitin James Peters, Shivani Dogra
49
Original Articles
The need for practice enhancements and parental empowerment during their child’s day surgery process: A pilot study
Ahamed Faiz Ali
05
Management of paediatric surgical patients during the COVID-19 pandemic: Our challenges
Mohammed Shadrul Alam, AKM Khairul Basher, Jaglul Gaffer Khan, Muhammed Moinul Huque, Tahmina Hossain, Shahnoor Islam, Samidur Rahman, Kaniz Hasina, Abdul Tablu Hanif, Ashraf Ul Huq
15
Safety and advantages of early oral feeding after intestinal anastomosis in children: Our experience
Refoyez Mahmud, Md Samiul Hasan, Nazmul Islam, Sadia Sultana, Fahim Hasan, Ashrarur Rahman
22
Histopathological study of the fertility components of undescended testes in boys of different age group
Md Mizanur Rahman, A K M Zahid Hossain
26
Comparison between tubularisation of an intact and laterally augmented urethral plate urethroplasty and tubularised incised plate (TIP) urethroplasty for hypospadias repair
Saifuddin Shaheen, Ipsita Biswas, Muhammad Rashedul Alam
32
Result of simple versus layered repair of urethro-cutaneous fistula developing after hypospadias surgery
Amitava Biswas, KM Didarul Islam, Md Ruhul Amin, Agomoni Chaki, AKM Khairul Basher, Md Zamil Hossain
37
Prognostic value of serum lactate dehydrogenase and serum ferritin for abdominal neuroblastoma in children
Dewan Fahmida Akter, Shahnoor Islam
43
Case Reports
Isolated congenital urethrocutaneous fistula: Two case reports
Umme Habiba Dilshad Munmun, A K M Zahid Hossain
62
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Md Mizanur RahmanResident Surgeon (Paediatric Surgery), M Abdur Rahim Medical College Hospital, Dinajpur.
  • A K M Zahid HossainChairman, Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka.

Keywords

Age Undescended testis Histopathology Surgery Treatment

Abstract

Background: Undescended testes presents the most common male developmental abnormalities, with infertility frequently observed in unilateral as well as bilateral forms. In that study, we evaluated the histological parameters of Undescended testes based on patient’s age and we recommended for the optimal timing for orchiopexy. Objective: To evaluate the histological parameters of undescended testis and determine the optimal timing for orchiopexy. Methods and Materials: This cross-sectional study included 30 patients with undescended testis(es) in the department of paediatric surgery, BSMMU. After taking relevant history, examination findings and investigation reports of all the study subjects were recorded in the pretested data collection sheet. Then biopsy specimens were collected from the selected testes during orchiopexy and analyzed the parameters including mean tubular diameter (MTD), mean tubular fertility index (MTFI) germ cell count (GCC), Sertoli cell index (SCI) and interstitial fibrosis index (IFI) Results: The MTFI and GCC in children <1 years of age were significantly higher than those of other older age group. (P= 0.011 & P= 0.003) The MTFI, GCC and IFI were significantly better in patients <2 years of age when compared to those of > 2years. IFI in the > 5-years group was significantly higher than those of any of the other younger age groups (P < 0.05). Other parameters such as testicular volume, MTD and SCI showed no statistically significant difference between the age groups studied. Conclusions: This study revealed that higher number of germ cells exists in the tubules between 6 months and 1 year. After first year of life, the major germ cell parameters deteriorate continuously, thus we recommended that orchipexy should be performed, between 6 months and 1 year but no later than 2 years for preserving future fertility.

Journal of Paediatric Surgeons of Bangladesh (2019) Vol. 10 (1 & 2): 26–31

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