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The abdominal type of cryptorchism was modeled on random-bred albino rats by replacing both testes from the scrotum into the abdominal cavity for 3 weeks; thereupon they were manipulated into the scrotum. In control rats, no additional surgery was performed. In experimental rats, the testicular tissue obtained from 1-2-day rat pups was transplanted under testicular tunica albuginea. Prior to orchiopexy, the weight of testes decreased by 62.5-64.1%. In 6 month after the surgery, it increased by 36.1% in the control group, whereas in experimental rats the weight of testes elevated by 123.2% and approximated the normal value. Histologically, the control group demonstrated persistent disturbance in spermatogenesis with emptiness of numerous seminiferous tubules where only Sertoli cells could be revealed and with pronounced dystrophic alterations in the spermatogenous epithelium of the partially preserved tubules where spermatogenesis was blocked at the spermatogonial level. In contrast, the transplantation region of the experimental testes exhibited formation of novel mature testicular tissue enclosed by a connective tissue capsule incorporating the seminiferous tubules with differentiated epithelium and with the clusters of Leydig cells in the stroma. In 6 month, spermatogenesis was observed in most seminiferous tubules of the host testicular tissue, which had spermatozoa in the lumens. To the moment of orchiopexy, the blood testosterone decreased by about 2.5-fold. In control group it remained diminished during entire observation period (up to 6 month), while in the experiment group its level normalized completely as early as in 2 month and remained even elevated to the end of observation period.

Objective: Introduction: Topicability of this problem is caused by well-spread of cryptorchism among children: from 2-3% at newborn boys in UK to 10-12% of newborn boys in the Post Soviet Union countries. Degenerative processes, occured in testicle could lead to the development of eunuchoidism, feminization, gynecomastia, infantilism. In the future, changes in seminiferous epithelium contribute to the development of male infertility, impotence and malignant tumors - seminoma, teratoblastoma., Patients and Methods: The aim: To improve diagnosis for abdominal forms of cryptorchism at the children through implementation innovative methods in practice (laparoscopic diagnostics). Materials and methods: For a period from 2014 to 2017 years were carried out 43 diagnostic laparoscopy of non palpated testicle syndrome. By age children were distributed into the following groups: up to 1 year -18 children, 1-2 years - 25 children., Results: Results: Analyzing results of our research there is no doubt that laparoscopy is one of the most reliable methods of diagnosis abdominal cryptorchism in children. This method allows both to determine location of a damaged testicle in the abdominal cavity, but also to assess its condition, developed further tactics of treatment., Conclusion: Conclusions: Laparoscopic diagnosis abdominal forms of cryptorchism is the most reliable method in a comparison with computed tomography, ultrasound, radioisotope studies. Procedure of laparoscopic diagnosis could show not only location and condition of the testis, blood vessels and ductus deferens, but help to develop the further treatment tactics.

Study Question: Are boys who are born to mothers who use analgesics during pregnancy at increased risk of cryptorchidism compared to those born to mothers who do not take analgesia?, Summary Answer: In this systematic review and meta-analysis of 10 published studies, we observed only weak evidence of an association between analgesia use during pregnancy and risk of cryptorchidism in the son., What Is Known Already: Concentrations of analgesia relevant to human exposure have been implicated as causing endocrine disturbances in the developing foetal testis. However, when viewed collectively there appears to be conflicting evidence regarding an association between maternal use of analgesics and development of cryptorchidism., Study Design, Size, Duration: A systematic review and meta-analysis of studies on analgesia use during pregnancy and risk of cryptorchidism was performed. The search terms used were (analges* OR paracetamol OR acetaminophen) AND (cryptorchidism OR cryptorchism OR undescended test* OR non-descended test* OR non descended test*) for the databases Ovid Medline, Embase, Scopus and Web of Science. The search included all published articles up until 23 May 2016 and no limits were set in terms of language., Participants/materials, Setting, Methods: Abstracts were screened by one reviewer to remove irrelevant studies, with a 10% random sample of these verified by a second reviewer. The full text of all remaining papers was assessed by two reviewers. Abstracts included in the final analysis were studies which reported associations between the exposure (analgesia) and the outcome (cryptorchidism). Studies were only included if data were provided from which summary associations (odds ratios (ORs) or relative risks) and their 95% CIs could be calculated, or if summary associations were provided by the authors themselves. For each included study, two reviewers independently extracted study meta-data in line with PRISMA recommendations. We assessed study quality and potential for bias using the criteria outlined in the Newcastle-Ottawa Quality Assessment Scale, but did not determine a quality score. Two reviewers independently assessed study quality against these criteria., Main Results and the Role of Chance: After screening 350 manuscripts, 10 were included in our review (5 case-control studies, 5 cohort studies). We observed weak evidence of an association between ever use of analgesia and risk of cryptorchidism (pooled crude OR: 1.11, 95% CI: 1.00-1.23), with case-control studies revealing a marginally stronger association (1.23, 95% CI: 0.85-1.78) than cohort studies (1.09, 95% CI: 0.97-1.22). We observed weak evidence of a dose-response relationship between increasing weeks of analgesia exposure and risk of cryptorchidism, as well as weak evidence of an effect of timing on analgesia exposure and risk of cryptorchidism. Assessment of study quality via the Newcastle-Ottawa criteria revealed little (if any) evidence of substantial bias that may have meaningfully affected a given study's results., Limitations, Reasons for Caution: While confounding does not appear to be important, misclassification of the exposure is possibly an important source of measurement error in this context. The systematic review is open to reporting bias. Owing to scant data, no meta-analyses for two key questions (relating to dose-response and timing of exposure) could be performed. Medications were grouped based on their common effect and this offers little insight into the relation between specific types of analgesia and cryptorchidism. Finally, there are limitations in assuming that analgesia use reported by mothers is synonymous with actual intrauterine exposure., Wider Implications of the Findings: The ubiquity of analgesia use during pregnancy makes this exposure particularly important from a population health perspective. About 9 of the 10 studies were conducted in Europe or USA, limiting generalizability of our observations. While the observations from our systematic review and meta-analysis suggest that analgesia use during pregnancy is not strongly associated with cryptorchidism development in the son, they also highlight the need for further detailed assessments of this relationship., Study Funding/competing Interest(s): This study was funded by the Health Research Council of New Zealand (reference #: 14/052). The authors have no conflict of interest to declare., Registration Number: CRD42016041414., (© The Author 2017. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oup.com)

Background: Cryptorchidism is the most common genital malformation in male newborns. In recent years, guidelines concerning diagnosis and therapy have undergone considerable evolution with the implementation of recent knowledge in pathophysiology, diagnosis, and therapy., Objectives: The aim of this publication is to provide an overview of the current national and international guideline recommendations concerning diagnosis and treatment of cryptorchidism. Critical points are discussed in light of current scientific literature., Materials and Methods: The current guidelines of the European Association of Urology (EAU)/European Society for Pediatric Urology (ESPU), the American Association of Urology (AUA), the pediatric urologic task force of the Austrian Society of Urology (ÖGU), the international consultation on urological disease (ICUD) and the German Society of Urology (DGU)/German Association of Pediatric Surgery (DGKCh) have been analyzed concerning the most important aspects of treatment and diagnosis., Results: There is broad consensus concerning most steps and decisions for the treatment of cryptorchidism. However, some aspects of diagnostic imaging, the use of hormonal therapy, and surgical access in nonpalpable testis warrant further discussion and are the fields of considerable changes.

Rat testes were confined to the abdominal cavity by operation. After 1 to 26 days they were excised, fixed with osmium tetroxide, sectioned, and examined with the electron microscope. Changes in the axial filament complex of the spermatid flagellum appeared 2 days after operation, and the arrangement of filaments in the middle- and main pieces of some spermatid tails was disordered as compared to the 9 + 2 filament arrangement in the tails of the control spermatids and in other flagella and cilia. In cross-sections, the filaments in the experimental material were nine or less in number, and each of them was single and dense. Occasionally some were double, and in those instances one filament was dense and the other was light and tubular. The central filaments were obscure. In longitudinal sections,the filaments were not parallel to the main axis of the flagella or to each other. It was assumed that the central filaments were more sensitive to the experimental conditions than the peripheral pairs of filaments. Furthermore, the light filaments of the peripheral pairs were more sensitive than the dense filaments. Besides the axial filament complex, the fibrous sheath which surrounds it in the main piece was also changed. The plasma membrane of the changed flagella disappeared or became fragmented.