urovestВестник урологииUrology Herald2308-6424Rostov State Medical University10.21886/2308-6424-2024-12-3-131-140urovest-891Research ArticleКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯCLINICAL CASESСлучай семейной перекрёстной эктопии яичкаFamilial cross-testicular ectopia: a clinical case reporthttps://orcid.org/0000-0001-6076-0181АкрамовН. Р.AkramovN. R.

Наиль Рамилович Акрамов — д-р мед. наук, профессор

Казань

Nail R. Akramov — Dr.Sc.(Med), Full Professor

Kazan, Republic of Tatarstan

aknail@rambler.ruhttps://orcid.org/0000-0002-9640-3490ИсроиловА. А.IsroilovA. A.

Аброржон Адилжонович Исроилов

Ташкент

Abrorzhon A. Isroilov

Tashkent

abrorjon3112@gmail.comhttps://orcid.org/0000-0003-4408-5723РахматуллаевА. А.RakhmatullaevA. A.

Акмал Абадбекович Рахматуллаев — д-р мед. наук, доцент

Ташкент

Akmal A. Rakhmatullaev — Dr.Sc.(Med), Assoc.Prof. (Docent)

Tashkent

akmalrakhmatullaev@mail.ruhttps://orcid.org/0000-0001-9145-8671СизоновВ. В.SizonovV. V.

Владимир Валентинович Сизонов — д-р мед. наук, профессор

Ростов-на-Дону

Vladimir V. Sizonov — Dr.Sc.(Med.); Full Prof.

Rostov-on-Don

vsizonov@mail.ruhttps://orcid.org/0009-0003-4500-0186ПоспеловМ. С.PospelovM. S.

Михаил Сергеевич Поспелов

Казань

Mikhail S. Pospelov

Kazan, Republic of Tatarstan

pms1978@mail.ruhttps://orcid.org/0009-0005-6255-7562ГаллямоваА. И.GallyamovaA. I.

Айгуль Ильдусовна Галлямова — канд. мед. наук

Казань

Aigul I. Gallyamova — Сand.Sc.(Med)

Kazan, Republic of Tatarstan

abachtiarova@yandex.ruhttps://orcid.org/0000-0003-0706-5723ОрловВ. М.OrlovV. M.

Владимир Михайлович Орлов — канд. мед. наук

Ростов-на-Дону

Vladimir M. Orlov — Сand.Sc.(Med)

Rostov-on-Don

diggyboo@bk.ruКазанская государственная медицинская академия — филиал Российской медицинской академии непрерывного профессионального образования; Республиканская клиническая больница; Детская республиканская клиническая больницаРоссияKazan State Medical Academy — Branch Campus of the Russian Medical Academy of Continuing Professional Education; Kazan Republican Clinical Hospital; Kazan Republican Children's Clinical HospitalRussian FederationТашкентский педиатрический медицинский институт; Юнусабадский медицинский центрУзбекистанTashkent Paediatric Medical Institute; Yunus-Abad Medical CentreUzbekistanТашкентский педиатрический медицинский институтУзбекистанTashkent Paediatric Medical InstituteUzbekistanРостовский государственный медицинский университет; Областная детская клиническая больницаРоссияRostov State Medical University; Rostov-on-Don Regional Children's Clinical HospitalRussian FederationКазанская государственная медицинская академия — филиал Российской медицинской академии непрерывного профессионального образования; Детская республиканская клиническая больницаРоссияKazan State Medical Academy — Branch Campus of the Russian Medical Academy of Continuing Professional Education; Kazan Republican Children's Clinical HospitalRussian FederationКазанская государственная медицинская академия — филиал Российской медицинской академии непрерывного профессионального образованияРоссияKazan State Medical Academy — Branch Campus of the Russian Medical Academy of Continuing Professional EducationRussian FederationРостовский государственный медицинский университетРоссияRostov State Medical UniversityRussian Federation202408072024123131140Copyright © Акрамов Н.Р., Исроилов А.А., Рахматуллаев А.А., Сизонов В.В., Поспелов М.С., Галлямова А.И., Орлов В.М., 20242024Акрамов Н.Р., Исроилов А.А., Рахматуллаев А.А., Сизонов В.В., Поспелов М.С., Галлямова А.И., Орлов В.М.Akramov N.R., Isroilov A.A., Rakhmatullaev A.A., Sizonov V.V., Pospelov M.S., Gallyamova A.I., Orlov V.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.urovest.ru/jour/article/view/891

Перекрёстная или поперечная эктопия яичка — крайне редкая врождённая патология половой системы, характеризующаяся миграцией яичка в противоположный паховый канал с наличием односторонней паховой грыжи на стороне эктопии яичка. В современной литературе обсуждаются вопросы диагностики, в частности роли ультразвукового сканирования и магнитно-резонансной томографии. Однако наиболее точные диагностические критерии, влияющие на тактику хирургического лечения, устанавливаются по результатам лапароскопии. Большое количество публикаций посвящено выбору тактики хирургического лечения: раздельная трансабдоминальная орхиопексия с или без лапароскопического ассистирования, транссептальная орхиопексия в обе половины мошонки, а также редкая орхиопексия обоих яичек в одну половину мошонки. Выбор хирургической коррекции остаётся за хирургом с учётом индивидуальных характеристик пациента. В статье впервые описан случай семейной перекрёстной эктопии яичка с двухсторонней паховой грыжей у сибсов, которым выполнена хирургическая коррекция с использованием лапароскопического ассистирования по методике однотроакарного лапароскопического доступа с трансскротальной транссептальной орхиопексией с одномоментной двухсторонней игниопунктурной герниорафией. В отдалённом периоде наблюдения у сибсов (через 50 и 20 месяцев после операции) мальпозиции и атрофии гонад не выявлено.

Cross or transverse testicular ectopia is a rare congenital condition of the reproductive system that involves the migration of a testicle into the opposite inguinal canal, along with the presence of an inguinal hernia on the same side as the ectopic testicle. In the modern literature, there are discussions about diagnostic issues, particularly the use of ultrasound scanning and magnetic resonance imaging to diagnose this condition. However, it is the results of laparoscopic examination that determine the most accurate criteria for surgical treatment. Many publications discuss the choice of surgical tactics, including separate transabdominal orchiopexy, with or without laparoscopic assistance; transeptal orchiopexy on both sides of the scrotum; and rare cases of orchiopexy for both testicles on one side of the scrotum. Ultimately, the choice of surgery depends on the individual characteristics and needs of the patient, and the surgeon should make the decision based on these factors. The article describes, for the first time, a case of familial testicular ectopia with bilateral inguinal hernia in siblings who underwent surgery using laparoscopic assistance. The method used was single-trocar laparoscopic access with transscrotal transeptal orchiopexy and simultaneous bilateral puncture of the inguinal ring and suture. During the long-term follow-up period (50 and 20 months after surgery) in both siblings, there were no signs of malformation or atrophy of the gonads.

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The authors declare that there are no conflicts of interest present.