Original Research Article
Year: 2023 | Month: April-June | Volume: 8 | Issue: 2 | Pages: 518-524
DOI: https://doi.org/10.52403/ijshr.20230269
Unilateral Orchiectomy and Its Impact on Male Fertility: A Retrospective Study of Testicular Trauma Patients
Ali Ahmed Salem Hatroom1, Abobaker Ahmed Hussien Saeed2
1Associate Professor of Urology, Department of Special Surgery, Faculty of Medicine, University of Aden, Yemen
2Assistant Professor of Urology, Department of Special Surgery, Faculty of Medicine, University of Alhudaida, Yemen
Corresponding Author: Ali Ahmed Salem Hatroom
ABSTRACT
Background: Testicular injury has been shown to occur in less than 1% of trauma.
Objective: To evaluate the fertility of patients underwent unilateral orchiectomy and live with unilateral testis.
Materials and method: In this retrospective study, 86 male trauma patients that admitted to Alsadi hospital and Hatroom Urology Center between January 2015 to December 2018 were studied. All patients underwent unilateral orchiectomy. Married patients were included in this study. Information was collected from the medical records of the patients. The following parameters were included: patient age (years), injury type (blunt vs penetrating), mechanism of injury, conceive and period of conceive after orchiectomy. SPSS program, version 22, was used to analyze the data. The data were tabulated and statistical analysis was done by estimating rates, means and standard deviations, Fisher test was used and p-value < 0.05 was considered as statistically significant.
Results: The total study patients were 86. Their age at orchiectomy ranged between 20 – 35 and the mean age was 27 ± 4.3 years.
Blunt trauma accounted for (79.1%), while penetrating trauma accounted for (20.9%).
The causes were vehicle accident (25.6%), gunshot wounds (20.9%), pedestrian collision (18.6%), sport trauma (15.1%), work site (10.5%), and motor collision (9.3%).
Most of unilateral orchiectomy men succeeded to conceive (73.3) while (26.7%) failed to conceive (p > 0.05). After 1 year (27.9%) occurred conceive then after 2 years (23.2%) occurred conceive and after 3 years (22.2%), (p < 0.05).
Conclusion: The total study patients who underwent orchiectomy were 86. Blunt trauma was predominant. The causes of the testicular trauma were vehicle accident, gunshot wounds, pedestrian collision, sport trauma, and motor collision. We found the most of unilateral orchiectomy men succeeded to conceive. Further studies are in need.
Keywords: Unilateral orchiectomy, male fertility, testicular trauma, Aden, Yemen