Skip to main content
SpringerLink
Log in

Benigne testikuläre Fehlbildungen und Erkrankungen des Kindesalters

  • Chapter
Kinderurologie

  • 42 Accesses

Zusammenfassung

Das Phänomen des physiologischen Deszensus, Spezifikum des Menschen und der Säuger, wurde bereits 1841 erkannt [15]. Das Phänomen des Maldeszensus läßt sich nur verstehen aus der Ableitung von der Normalität. Die Mesonephros-Formation erscheint in der 4. Schwangerschaftswoche als paariger Wulst an der dorsalen Bauchwand. Zusammen mit primitiven Sexualsträngen entstehen in der 5. SSW der Müller- und der Wolff-Gang. Die Keimdrüsen sind zu diesem Zeitpunkt noch undifferenziert. Das vom Y-Chromosom determinierte HY-Antigen führt dann in der 7. SSW zum Beginn der Ausdifferenzierung einer männlichen Gonade. Aus dem Wolff-Gang entwickeln sich Epididymis, Ductus deferens und die Vesiculae seminales, während der in den fetalen Sertoli-Zellen gebildete Anti-Müller-Faktor die Müller-Gänge zum Utriculus prostaticus zurückbildet. Der Deszensus des Hodens verläuft von dorsokranial nach ventrokaudal. Anfänglich rund gestaltet, nimmt der Hoden zur Passage durch den Leistenkanal seine spätere ovaläre Form an. In dieser Phase umklammert ihn der rasch wachsende Nebenhoden.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 54.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Atwell JD (1985) Ascent of the testis: fact or fiction. Br J Urol 57:474

    Article  PubMed  CAS  Google Scholar 

  2. Barione FF, Huseman CA, Maizels M (1984) Pitfalls in using human chorionic gonadotropin stimulation test to diagnose anorchia. J Urol 132:563

    Google Scholar 

  3. Bergada C (1979) Clinical treatment of cryptorchidism. In: Bierich JR, Giarola A (eds) Cryptorchidism. Academic Press, London

    Google Scholar 

  4. Bica DTG, Hadziselimovic F (1992) Buserelin treatment of cryptorchidism: a randomized, double-blind, placebo-controlled study. J. Urol 148:617–621

    CAS  Google Scholar 

  5. Borkenstein M (1987) Intranasal LH-RH for cryptorchidism: Response to initial treatment and to treatment after relapse. Eur J Pediat 146:42–43

    Article  Google Scholar 

  6. Corkery JJ (1975) Staged orchidopexy-a new technique. J Pediatr Surg 10:515

    Article  PubMed  CAS  Google Scholar 

  7. Das S, Singer A (1990) Controversies of perinatal torsion of the spermatic cord. J Urol 143:231–233

    PubMed  CAS  Google Scholar 

  8. Diamond DA, Caldamone AA (1992) The value of laparoscopy for 106 impalpable testes relative to clinical presentation. J Urol 148:632–634

    PubMed  CAS  Google Scholar 

  9. Eckstein HB, Heath AL, Man DWK (1984) Epididymal abnormalities associated with maldescent of the testis. J Pediatr Surg 19:47–49

    Article  PubMed  Google Scholar 

  10. Engle ET (1932) Experimentally induced descend of the testis in the Macaccus monkey by hormons from anterior pitnitary and pregnancy urine. Endocrinology 16:513

    Article  Google Scholar 

  11. Fowler R, Stephens FO (1959) The role of testicular vascular anatomy in the salvage of high undescended testis. Aust NZ J Surg 29:92

    Article  CAS  Google Scholar 

  12. Fritzsche IJ, Hricak H, Kogan BA, Winkler ML, Tanagho EA (1987) Undescended testis: value of MR imaging. Radiology 164:169–173

    PubMed  CAS  Google Scholar 

  13. Hadziselimovic F (1983) Cryptorchidism: management and implications. Springer, Berlin Heidelberg New York

    Book  Google Scholar 

  14. Hadziselimovic F, Herzog B (1990) Hodenerkrankungen im Kindesalter. Hippo-krates, Stuttgart (Bibliothek f. Kinderchirurgie)

    Google Scholar 

  15. Hadziselimovic F, Herzog B, Seguclu H (1975) Surgical correction of cryptorchidism at 2 years. Electromicroscopic and morphometric investigations. J Pediatr Surg 10:19

    Article  PubMed  CAS  Google Scholar 

  16. Hadziselimovic F, Girard J, Herzog B (1984) Four years experience with a combined hormonal therapy of cryptorchidism. Z Kinderchir 39:324–327

    PubMed  CAS  Google Scholar 

  17. Hunter JA (1841) A description of the situation of the testis in the foetus, with its descent into the scrotum. In: Observations on certain parts of the animal economy. Haswell, New Orleans, pp 42–50

    Google Scholar 

  18. Illig R, Bucher H, Prader A (1980) Success, relapse and failure after intranasal LH-RH treatment of cryptorchidism in 55 prepubertal boys. Eur J Pediatr 133:147–150

    Article  PubMed  CAS  Google Scholar 

  19. Job JCI, Gendrel D, Safer A, Roger M, Chaussain JL (1977) Ptinitary LH and FSH and testosterone secretion in infants with undescended testes. Acta Endocri-nol (Copenh) 85:644

    CAS  Google Scholar 

  20. Kleinteich G, Hadziselimovic F, Hesse V, Schreiber G (1979) Kongenitale Hodendystopien. VEB Thieme, Leipzig

    Google Scholar 

  21. Knorr D, Pröschold U, Richter W (1977) Fertility after treatment of maldescen-ded testis. In: Bierich JR, Rager K, Ranke MB (eds) Maldescensus testis. Urban & Schwarzenberg, München

    Google Scholar 

  22. Landa HM, Gylys-Morin V, Mattrey RF, Krons HF, Kaplan GW, Packer MG (1987) Magnetic resonance imaging of the cryptorchid testis. Eur J Pediatr [Suppl 2] 146:16–17

    Article  Google Scholar 

  23. Ludwig G, Potempa J (1975) Der optimale Zeitpunkt der Behandlung des Kryp-torchismus. Dtsch Med Wochenschr 100:680–683

    Article  PubMed  CAS  Google Scholar 

  24. Mininberg DT, Rodger JC, Bedford MJ (1982) Ultrastructural evidence of the onset of testicular pathological conditions in the cryptorchid human testis within the first year of life. J Urol 128:782

    PubMed  CAS  Google Scholar 

  25. Prentiss RJ, Weickgenant CJ, Moses JJ et al. (1960) Undescended testis: Surgical anatomy of spermatic vessels, spermatic surgical triangles and lateral spermatic ligament. J Urol 83:686

    PubMed  CAS  Google Scholar 

  26. Perovic S, Kristic Z, Talic B (1985) Kryptorchismus und paratestikuläre Mißbil-dungen, eine prospektive Studie. In: Stoll HG (Hrsg) Verhandlungsbericht der Deutschen Gesellschaft für Urologie, 36. Tagung, 3.-6. Oktober 1984, Bremen. Springer, Berlin Heidelberg New York Tokyo, S 437–443

    Google Scholar 

  27. Riebel T (1990) Spermatica-Phlebographie bei Maldeszensus testis. In: Schier F, Waldschmidt J (Hrsg) Maldeszensus testis. Zuckerschwerdt, München Bern Wien San Francisco

    Google Scholar 

  28. Waldschmidt J, El-Dessouky M, Priefer A (1987) Therapeutic results in cryptor-chidism after combination therapy with LH-RH-nasal spray and HCG. Eur J Pediatr [Suppl 2] 146:31–34

    Article  Google Scholar 

  29. Waldschmidt J, Ribbe V, Langhof M, Kemmerling M (1990) Nachuntersuchung von Kindern mit Pendelhoden. In: Schier F, Waldschmidt J (Hrsg) Maldeszensus testis. Zuckerschwerdt, München Bern Wien San Francisco

    Google Scholar 

  30. Zamudio-Albescu J (1979) Cryptorchidism and fertility. In: Bierich JR, Giarola A (eds) Cryptorchidism. Academic Press, London New York

    Google Scholar 

Literatur

  1. Andersen L, Wille Jorgensen PA (1990) Torsion of the testis. Scand J Urol Nephrol 24:91–93

    Article  PubMed  CAS  Google Scholar 

  2. Bartsch G, Frank St, Marberger H, Mikuuz G (1980) Testicular torsion. J Urol 124:375–378

    PubMed  CAS  Google Scholar 

  3. Bauer HW (1969) Die Hodentorsion. Dtsch Med Wochenschr 95:2600–2604

    Article  Google Scholar 

  4. Beard CM, Benson RC, Kelalis PP, Elveback LR, Kurland LT (1977) The incidence and outcome of mumps orchitis in Rochester, Minnesota, 1935 to 1974. Mayo Clin Proceed 52:3–7

    CAS  Google Scholar 

  5. Ben-Ari J, Merlob P, Mimouni F, Rosen O, Reisner SH (1989) The prevalence of high insertion of scrotum, hydrocele and mobile testis in the newborn infant. Eur J Pediatr 148:563–564

    Article  PubMed  CAS  Google Scholar 

  6. Bickel A, Dickstein G (1989) Factors predicting the outcome of varicocele repair for subfertility. J Urol 142:1230–1234

    PubMed  CAS  Google Scholar 

  7. Bigot JM, Barret F, Helenon C (1982) Phlebographie of the right spermatic vein in varicoceles. In: Jecht EW, Zeitler E (eds) Varicocele and male infertility. Springer, Berlin Heidelberg New York, pp 59–67

    Chapter  Google Scholar 

  8. Boyce WH, Politano VA (1970) Infections and diseases of the scrotum and its contents. In: Campbell MF, Harrison JH (eds) Urology. Saunders, Philadelphia, pp 625–632

    Google Scholar 

  9. Breun H, Jecht E, Schrott KM (1982) Varikozele und distaler Reflux. Urologe A 21:345–347

    PubMed  CAS  Google Scholar 

  10. Charney CW (1962) Effect of varicocele on fertility. Fertil Steril 13:47

    Google Scholar 

  11. Comhaire F, Vermeulen A (1975) Plasma testosteron in patient with varicocele and sexual inadequacy. J Clin Endocrinol 40:824–849

    Article  CAS  Google Scholar 

  12. Das S, Singer A (1990) Controversies of perinatal torsion of the spermatic cord. J Urol 143:231–233

    PubMed  CAS  Google Scholar 

  13. Dietrich M, Michl W, Bokenius M (1989) Abdominoscrotale Hydrocele im Säuglingsalter. Chir Praxis 40:661–663

    Google Scholar 

  14. Ding X (1989) Sclerotherapy with tetracycline for hydrocele of the tunica vaginalis testis. Br J Urol 64:322

    Article  PubMed  CAS  Google Scholar 

  15. Drews JH, Parkinson P, Walstab JE, Beischer LA (1977) Incidences and types of malformations in newborn infants. Med J Aust 1:945–949

    Google Scholar 

  16. Dubin C, Amelar RD (1970) Varicocele size and results of varicocelectomy in selected subfertiles. Fertil Steril 21:606

    PubMed  CAS  Google Scholar 

  17. Errico G, Takyia A, Dodsworth R, Goyanza R, Joppert W, Perotta U (1990) A study of the immunopathologic changes and ultrastructural characteristics in both testes after unilateral varicocele. Eur Urol 18(S 1):208

    Google Scholar 

  18. Ferro F, Caterino S, Lais A (1991) Testicular prothesis in children: a simplified insertion technique. Eur Urol 19:230–232

    PubMed  CAS  Google Scholar 

  19. Goldstein M, Eid JF (1989) Elevation of intratesticular and scrotal scinsurface temperature in men with varicocele. J Urol 142:743–745

    PubMed  CAS  Google Scholar 

  20. Goljanitzki JA (1926) Zur Frage der Entstehung und chirurgischen Behandlung der Venenerweiterung des Samenstranges. Arch Klin Chir 141:481–486

    Google Scholar 

  21. Greensteen A, Smith-Harrison LJ, Wakely PE, Kologi S, Salzber AD, Koontz WW (1992) The effect of polyethylene glycol-superoxide dismutase administration on histological damage following spermatic cord torsion. J Urol 148:639–641

    Google Scholar 

  22. Gulmez I, Karacagil M, Sade M, Kandemir B (1987) Effect of testicular torsion on the contralateral testis and prevention of this effect by prednisolone. Eur Urol 13:340–343

    PubMed  CAS  Google Scholar 

  23. Hadziselimovic F, Snyter H, Duckett J, Howards S (1986) Testicular histology in children with unilateral testicular torsion. J Urol 136:208–210

    PubMed  CAS  Google Scholar 

  24. Hadziselimovic F, Herzog B, Liebundgut B, Jenny P, Buser M (1989) Testicular and vascular changes in children and adults with varicocele. J Urol 142:603–605

    Google Scholar 

  25. Harris LE, Stayura LH, Ramirez-Talavera PF, Annegers JF (1975) Congenital and acquired abnormalitis observed in live-born and still-born neonates. Mayo Clin Proc 50:85–90

    PubMed  CAS  Google Scholar 

  26. Hoesle PO (1989) Zur Frühbehandlung der Varikozele bei Kindern und Jugendlichen. Helv Chir Acta 56:229–233

    Google Scholar 

  27. Hornstein OP (1982) Orchidopathia e varicocele. In: Jecht EW, Zeitler E (eds) Varicocele and male infertility. Springer, Berlin Heidelberg New York, pp 19–26

    Chapter  Google Scholar 

  28. Jakobsche A, Köllermann MW (1986) Komplikationen nach Operationen kindlicher Hydrocelen. Münch Med Wochenschr 110:399–400

    Google Scholar 

  29. Janneck C (1979) Varikozele im Kindesalter. Chir Prax 25:323–328

    Google Scholar 

  30. Johnson DE, Pohl DR, Rivera Correa H (1970) Varicocele: an innocuous condition. South Med J 63:34–36

    Article  PubMed  CAS  Google Scholar 

  31. Kass EV, Chandra RS, Belman AB (1987) Testicular histology in the adolescent with varicocele. Pediatrics 79:996–998

    PubMed  CAS  Google Scholar 

  32. Kass EY, Marcol B (1992) Results of variocele surgery in adolescents: a comparison of techniques. J Urol 148:694–696

    PubMed  CAS  Google Scholar 

  33. Kogan SJ (1989) Acute and chronic scrotal swelling. In: Gillenwater JA, Gray-hack JT, Howard SS, Duckett JW (eds) Adult and pediatric urology. Mosby Year Book, St. Luis, pp 1950–1952

    Google Scholar 

  34. Krarup T (1978) The testis after torsion. Br J Urol 50:43–46

    Article  PubMed  CAS  Google Scholar 

  35. Kristiansen VB, Kjems E, Sorensen C, Sondergaard JO (1989) Hydrocele in children: Indication and surgical technique. Acta Chir Belg 89:221–223

    PubMed  CAS  Google Scholar 

  36. Kursh ED (1987) What is the incidence of varicocele in a fertile population? Fertil Steril 48:510–511

    PubMed  CAS  Google Scholar 

  37. Leape LL (1990) Testicular torsion. In: Ashcraft KW (ed) Pediatric urology. Saunders, Philadelphia, pp 429–436

    Google Scholar 

  38. Longo VJ (1978) Point of view-torsion of testis: a new twist. Urology 12:743

    Article  PubMed  CAS  Google Scholar 

  39. Lord PH (1964) A bloodless operation for the radical cure of idiopathic hydrocele. Br J Surg 51:914

    Article  PubMed  CAS  Google Scholar 

  40. Ludwig G (1982) Pathogenesis of varcocele. In: Jecht EW, Zeitler E (eds) Varicocele and male infertility. Springer, Berlin Heidelberg New York, pp 6–11

    Chapter  Google Scholar 

  41. Ludwig G, Haselberger J, Kagelmacher B (1980) Fertilität nach ein-und beidsei-tiger experimenteller Samenstrangtorsion. Urologe A 19:303–305

    PubMed  CAS  Google Scholar 

  42. Madarikan BA (1987) Testicular salvage following spermatic cord torsion. J Pediatr Surg 22:231–234

    Article  PubMed  CAS  Google Scholar 

  43. Mali WPT, Oei HY, Arndt JW, Kremer J, Coolsact DLRA, Schnur K (1986) Hemodynamics of the varicocele. J Urol 135:483–488

    PubMed  CAS  Google Scholar 

  44. Marden PM, Smith DW, McDonald MJ (1964) Congenital anomalies in the newborn, including minor variations. J Pediatr 64:357–371

    Article  PubMed  CAS  Google Scholar 

  45. McKay DG, Fowler R, Barnett JS (1958) The pathogenesis and treatment of primary hydroceles in infancy and childhood. Aust NZ J Surg 28:2–11

    Article  Google Scholar 

  46. Melekos MD, Asbach WH, Markon SA (1988) Etiology of acute scrotum in 100 boys with regard to age distribution. J Urol 139:1023–1025

    PubMed  CAS  Google Scholar 

  47. Nagler HM, White RV (1983) The effect of testicular torsion on the contralateral testis. J Urol 128:1343–1348

    Google Scholar 

  48. Öster J (1971) Varicocele in children and adolescents. Scand J Urol Nephrol 5:27–32

    Article  PubMed  Google Scholar 

  49. Okuyama A, Nakamaru M, Namiki M, Takeyama M, Utsunomiya M, Fujioka H, Itatani H, Matsuda M, Matsumoto K, Sonoda T (1988) Surgical repair of varicocele at puberty. J Urol 139:562–564

    PubMed  CAS  Google Scholar 

  50. Passia D, Ibach B, Hilscher B (1980) Experimentelle Hodentorsion. Urologe A 19:296–302

    PubMed  CAS  Google Scholar 

  51. Politoff L, Hadziselimovic F, Herzog B (1990) Does hydrocele affect later fertility? Fertil Steril 53:700–703

    PubMed  CAS  Google Scholar 

  52. Rabinowitz R (1984) The importance of the cremasteric reflex in acute scrotal swelling in children. J Urol 132:89–90

    PubMed  CAS  Google Scholar 

  53. Riebel T (1982) Phlebography of persistent varicocele in boys. In: Jecht EW, Zeitler E (eds) Varicocele and male infertility. Springer, Berlin Heidelberg New York, pp 202–205

    Chapter  Google Scholar 

  54. Saypol DC, Howards SS, Turner TT, Miller EJ (1981) Influence of surgically induced varicocele on testicular blood flow, temperature and histology in adult rats and dogs. J Clin Invest 68:39–45

    Article  PubMed  CAS  Google Scholar 

  55. Schieferstein G, Kasseckert H (1982) Spermatologic results and following varicocele surgery. In: Jecht EW, Zeitler E (eds) Varicocele and male infertility. Springer, Berlin Heidelberg New York, pp 186–190

    Chapter  Google Scholar 

  56. Seyferth W, Richter E, Grosse-Vorholt R (1982) Technique of retrograde phlebography of the internal spermatic vein. In: Jecht EW, Zeitler E (eds) Varicocele and male infertility. Springer, Berlin Heidelberg New York, pp 44–48

    Chapter  Google Scholar 

  57. Skoglund RW, McRoberts JW, Radge H (1970) Torsion of the spermatic cord. J Urol 104:604–607

    PubMed  CAS  Google Scholar 

  58. Smirnoff OC (1929) Varicocele sinistra idiopathica. Z Urol 23:850–859

    Google Scholar 

  59. Sonda LP, Lapides J (1961) Experimental torsion of the spermatic cord. Surg Forum 12:502–504

    PubMed  Google Scholar 

  60. Steeno O, Knops I, Declerck L, Adimoelja A, van de Voorde H (1976) Prevention of fertility disorders by detection and treatment of varicocele at school and college age. Andrologia 8:47–53

    Article  PubMed  CAS  Google Scholar 

  61. Steffens J, Braedel HU, Ziegler M (1992) Die Varikozele im Kindesalter. Urologe (A) 31:302–305

    CAS  Google Scholar 

  62. Takahashi Y, Akaishi K, Sano A, Kuroda Y (1988) Intra-arterial digital subtraction angiography for children with idiopathic renal bleeding: A diagnosis of nutcracker phenomeon. Clin Nephrol 30:134–140

    PubMed  CAS  Google Scholar 

  63. Thomas WEG, Williamson RCN (1983) Diagnosis and outcome of testicular torsion. Br J Surg 70:213–216

    Article  PubMed  CAS  Google Scholar 

  64. Thon WF, Gall H, Danz B, Baehren W, Sigmund G (1989) Percutaneous sclero-therapy of idiopathic varicocele in childhood: a preliminary report. J Urol 141:913–915

    PubMed  CAS  Google Scholar 

  65. Turner TT (1987) The unilateral testicular and epididymal torsion. J Urol 138:1285–1290

    PubMed  CAS  Google Scholar 

  66. Ughi G, Daniele C, Reggiani A, Benea G, Galeotti L (1990) Varicocele: noninva-sive diagnostic and percutaneous treatment. Eur Urol 18 (Suppl. 1):209

    Google Scholar 

  67. Wagenknecht LV, Hubmann R, Schirren C, Vogel H (1982) Persisting varicocele: cause and treatment. In: Jecht EW, Zeitler E (eds) Varicocele and male infertility. Springer, Berlin Heidelberg New York, pp 127–134

    Chapter  Google Scholar 

  68. Watson RA (1975) Torsion of the spermatic cord in neonate. Urology 5:439

    Article  PubMed  CAS  Google Scholar 

  69. Williamson RCN (1976) Torsion of the testis and allied conditions. Br J Surg 63:465–476

    Article  PubMed  CAS  Google Scholar 

  70. Wutz J (1977) Über die Häufigkeit von Varikozelen und Hodendystopien bei 19jährigen Männern. Klinikarzt 6:319–320

    Google Scholar 

Download references

Authors
  1. W. Rösch
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Sigel
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. R. Kühn
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Urologischen Klinik und Poliklinik, Universität Erlangen-Nürnberg, Maximiliansplatz, W-8520, Erlangen, Bundesrepublik Deutschland

    Alfred Sigel (ehemal. Direktor) (ehemal. Direktor)

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Rösch, W., Sigel, A., Kühn, R. (1993). Benigne testikuläre Fehlbildungen und Erkrankungen des Kindesalters. In: Sigel, A. (eds) Kinderurologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-08082-5_25

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-08082-5_25

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-08083-2

  • Online ISBN: 978-3-662-08082-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation