588
1275584226014562113170
ORIGINÁLNÍ3862207016996181224324367468561635735777
PRÁCE4677207016983165262348424
Ces37027936014570127174
Urol39017936014578115180208
2020;41347936014562121178237261
24(2):44217936014561118151210240262
126–13147087936014562113172235288340394
pexi,624898013162115161182198
ve845898013156107
14974898013161106
případech110989801316192113171220279330379435
jsme156789801313068156208
odstranili1803898013160119157190221269326346367387
fibrózní221289801313360119149205246304324
tkáň255889801314185135191
atrofického624104801315182113168193220268312363421479
varlete.11251048013157106136158210242292308
Intraabdominálně1456104801313087117148197245304364421511532589637657714766
jsme2245104801313068157209
nalezli24831048013161109129182225247267
varle,624119801315099128150201216
jeho862119801313081138195
atrofické1079119801315787118173197224271315365
reziduum1466119801313989132153211267323410
nebo19051198013159111169227
pouze21611198013161119176218268
ductus24581198013160116163198254292
deferens6241348013160111138188218268324361
33×10081348013159107168
(55,01199134801313584131145197
%).14241348013181105118
Dvacet15701348013172121169216265296
dva18941348013161108156
varlat20731348013156104133154201231
bylo23321348013162107128185
loka‑2539134801312986130179211
lizovaných62414980131244487142190239296341387444
do10971498013161119
212381498013161
cm13151498013150139
od14831498013160119
vnitřního16251498013157115135167198256276335393
prstence,2047149801316292132166216273321371386
včetně24561498013156103153184242294
peeping6241648013161113164222242297354
testis1000164801313382120152172209
a12291648013150
provedli1300164801316090144190240298318337
jsme1659164801312259146197
orchidopexi.1876164801315988133188208265321379431476496513
Ve24091648013156103
dvou25331648013159107161217
případech624179801316192112171219278329377434
byla10861798013162107129176
přítomná1291179801316191112144199287344391
vysoká17051798013156107146203248297
intraabdominální2025179801312985115146194242300359416505525581628649705725
retence624194801313282113161217264312
(nad958194801313083129187
211671948013154
cm12361948013149136
od13941948013159117
vnitřního15341948013149106126157186242262320376
prstence)1933194801316090129161210266312361384
a23391948013150
provedli2412194801316191145191241299319338
jsme624209801312359144194
orchidopexi833209801315886130184203259314370421466485
dle1333209801315978128
Fowler‑Stephense.14762098013150103178198247276302346374421478533583637673723737
Dvakrát22282098013171118165207237284313
jsme2562209801311753138188
nalezli6242248013160107128180223244264
a9112248013156
odstranili9962248013159119157190220269326346366386
atrofickou1404224801315788118174198225272316372429
tkáň1856224801314084134191
varlete.20692248013157105135156208240290305
Agenezi24032248013165122174231282326347
varlete624239801315097126147198229277
jsme923239801312258145196
diagnostikovali1138239801316080126183239295333365385428482529576596615
v17732398013150
sedmi1843239801314191150236256
případech.2119239801316090110167215272323370426443
Závěr:7742546013361114165219254278
K10722548013155
diagnostice1148254801316082130189247305345380402450501
a16702548013150
léčbě1744254801312073123182236
nehmatného20012548013159112170259308340398451509567
var‑2590254801314999130159
lete624269801312376109160
byla8112698013160108131179
ve10152698013152104
většině11432698013152103136178199257310
případů,1479269801316193115174224284341359
tj.186226980131365877
celkem19632698013151102125170222311
u23002698013158
4923852698013154104
varlat25132698013152102133156205237
(81,7624284801312981129141194
%),8502848013182107123
dostačující9982848013168127167202253302359382404452474
revize1497284801314193142165210262
tříselného178328480131427497137190213271325384443
kanálu.22502848013155106165214237294313
Na‑25962848013171120154
vazující6242998013150100144202225246294316
revize964299801312981129152196248
dutiny12322998013160117151173230276
břišní1529299801316193115154212233
musela17832998013190147187240262311
být21152998013160108145
provedena2281299801316193149197249309362420469
u6243148013158
11706314801315495
(18,3825314801312977123142195
%)10443148013182107
nehmatných11753148013159112170259308340398444492549
varlat.17483148013150100131154203235254
KLÍČOVÁ6253434014770132164236320392464
SLOVA11163434014762123207279351
Kryptorchismus,624359801315588140201234290322369427449488577634673692
nehmatné13403598013167120178267316349407460
varle,18243598013158108139162215232
tříselný208035980131427496135189211269315
přístup,24193598013169101123162197255314331
laparoskopie.624374801312372131181213269309354411471494546563
SUMMARY6254034014762143243345423493561
Šarapatka7744198013151101132182242292324370420
J,1219419801314562
Seifriedová13064198013159112134162195218270330389437487
Z,1817419801316786
Šmakal19274198013159147196242292315
O.2274419801317490
Our23964198013174134168
ap‑25904198013160122160
proach624434801316195154206257317
to9674348013144102
diagnosing1095434801317094145207267327369393452514
and16354348013160120182
treating1843434801314478132182217241301362
impalpable22324348013133124185238262323376437463518
testis.624449801313487130166191232253
Introduction:774464601332689126164226290352404444471533597620
The14204648013161123179
diagnosis1625464801317094144206266326369392433
and20844648013160120182
treatment2292464801314478132182217308364424458
of624479801315989
an7394798013159119
impalpable8844798013132123184237261322375436462517
testis1427479801314396138175199240
remains1694479801314194186237261320362
a20824798013159
controversial21674798013158116177211244303354408441484508558583
issue.624494801312364106165220239
The8904948013154116172
aim1088494801315478168
of1283494801316292
the1402494801313798153
study1581494801314582141203254
was18654948013179131173
data20684948013159110145197
analysis22914948013153113164189239282305346
in2664494801312686
boys6245098013161122171214
operated8675098013158121177210263297350413
on13085098013159119
for1454509801313190124
an16045098013153113
impalpable17435098013125116178230254316368430455510
testis.2279509801313690132169193234256
Material7745246013390147186244283312368396
and11975246013364129195
methods:14295246013393152192256320387433458
In1915524801313496
a20385248013162
retrospective2127524801314499136171231275338396449489514567623
study,624539801314075133193242256
we9025398013178131
evaluated10555398013152102152175232281314366426
the1506539801313189142
findings1673539801312650108168191248308348
in2046539801312077
22821465398013152105157
boys23255398013160119167208
who25555398013178137195
had6245548013159110172
been8225548013165122178238
operated10865548013163126182215268302355418
on15305548013163124
for1680554801313493127
an18345548013154114
impalpable19755548013127118180232256318370432457512
testis2513554801313992135171196237
at624569801315084
the7355698013140100155
Department9235698013171127189241274313405460521555
of1504569801316595
Urology16325698013168101160185246308359
of2017569801316595
the21395698013140100155
Olomouc2327569801317499160251312372423
University6245848013168126149199252284326349384436
Hospital10835848013168127169228252287337361
in1469584801312179
the1574584801313190144
years17415848013148101150182224
201719895848013153105154198
and22115848013149108168
2018.24025848013153106154202222
To26485848013150102
diagnose624599801315983133194253313355409
cryptorchidism,1057599801314982135198232290324372431455515539579669689
we17705998013179133
perform19275998013160116149183242275367
a23185998013149
physical23915998013161121169211234284335359
examination.6246148013153103155246270330381415439499560581
In1231614801313191
patients13486148013168120155179234294328372
with17536148013180105140200
a19806148013157
palpable20636148013168120145206258320346401
testis,2490614801314194137174198239260
orchidopexy624629801315993142202225287347410466516569
from1219629801313469127219
the1465629801313898153
inguinal1645629801312787148208232291342367
approach20386298013154116178213271324374434
is2499629801312768
our25936298013163123157
treatment624644801313467120169203293347406440
of1088644801315887
choice.11996448013149108167191241293312
If,153664480131215168
in1629644801312180
patients17336448013160111145168222281315358
with21146448013179103138197
an23356448013150109
impal‑24696448013121111171223246281
pable6246598013160110170194248
testis,897659801313183124159182222242
palpation11626598013159110133193243276299358417
under16026598013157115175228261
general18866598013158112170224256307330
anaesthesia22396598013149107157210251286345399440462511
fails624674801312982106130171
to821674801313896
show9446748013145104165245
the1215674801313999154
presence1399674801316195149191247307358411
of1836674801316393
a19556748013155
testis,2036674801313891133170194236256
we23236748013179134
begin24876748013161117179203263
with6246898013179104140200
an8506898013149109
exploration9846898013154104166191252286338372397456517
of1526689801315990
the1642689801313393148
inguinal1817689801312281143202226286337362
canal.22056898013148100160211235256
If2487689801312253
a25666898013149
vi‑2641689801314974109
able6247048013150112137192
testis842704801313992135172196237
is1105704801312869
found,1201704801313393153213274295
we15277048013179134
continue16877048013154112173207231291350405
with21237048013179104140200
standard2349704801314683135195256307341401
orchidopexy;624719801316095146208233296358422480532587609
in1260719801313596
the13847198013145107164
case15767198013161114158215
of18187198013170102
its1948719801313471116
high2092719801317195159220
location,2340719801313496150203239264326389410
we6247348013181138
choose7897348013161123186249293350
orchidopexy11677348013170106157219244307369434492544599
with18057348013181107144206
retroperitoneal2039734801314499136172232297355390416453513576633685711
mobilization6247498013190151213238262286332385419443503564
of1214749801316697
the13377498013141101157
vas15207498013157109151
deferens16977498013167122153207241294354396
and21197498013157117179
vessels.23247498013157111154196251276317339
If2689749801313061
atrophic624764801315084118177239300324375
testicular1025764801313487129166190241300325375409
residue1460764801313286128152213272328
is1814764801312264
found,1904764801312888148208270290
we22207648013179133
perform23797648013161117151185245279371
orchidectomy.297689801315993142202226288343395433491584632648
If365089801313464
no3740898013170130
testis,389789801314497140177201242263
testicular418789801314497140176201251311336387420
residue463389801314397140163225284339
or4999898013169103
vas29761048013150102144
deferens31471048013160115145199233287347388
are3562104801315184138
found,3726104801313089149209271291
we40441048013180134
proceed4205104801316195154206259315377
to4609104801313593
explora‑47281048013154104167192252286338374
tion2976119801313560122184
of31871198013171102
the33171198013145107164
abdominal35081198013162125189251346371432484510
cavity.40451198013161114166192228283300
If4372119801313466
the44651198013146107164
finding4657119801314066128191216277341
is5025119801313477
a29761348013151
macroscopically30641348013192144196231291334386446509535587640665689741
normal38321348013170132167261313339
testis,4198134801314599143180205248269
we45051348013180136
carry46681348013160114148183239
out49341348013170131168
one-stage29761498013158119174211253290342403458
orchidopexy3459149801315892141201225286346408464514568
with40511498013180104140200
interruption4277149801312281115168202236296358393417477537
of4839149801315989
the4954149801313393148
vascular29761648013149101142193252275326359
supply3361164801313997158220245294
according36791648013150100148206240299323382443
to4148164801313289
Fowler-Stephens.42621648013150108188213267300331380412465526586641700741763
If5051164801312151
an29761798013149108
atrophic3108179801314983116174235295318367
testis3501179801313284125161185225
is3751179801312162
found,3838179801312785144203263283
we41451798013178132
perform43001798013160115148182240273364
orchidec‑4688179801315791139198221281335386414
tomy;2976194801313492184233254
when32661948013180140196256
there35481948013144105160194248
is3822194801313374
evidence39231948013163114139201256316367420
of43691948013169100
agenesis,44951948013160122177237292335358400420
the49421948013144104160
procedure2976209801316195154205258321380414467
is3470209801312566
terminated.3562209801313690123215239299350384438500521
Results:31262246013361118163224251289335357
The35102248013161123178
study3714224801315087146208258
included3998224801313292142166225287342404
22844282248013163118171
boys,46252248013171132181223243
with49022248013182106140201
bilateral2976239801316183105154186237268318340
cryptorchidism3341239801315081133194227283315361419441500522561649
being40162398013160114136194253
diagnosed4294239801316082130190247306346399459
in4777239801312482
2948842398013154106
of5015239801315887
them2976254801313492145234
(12.7%).3234254801313280124142194273299314
A35752548013164
total3663254801313793125175197
of3887254801315987
25739982548013157110160
testes4182254801313788128163214254
were44632548013179132163214
operated47042548013159119173205255287338398
on:29762698013158115131
1973127269801315397145
testes3295269801313080119153203242
were35562698013178129160210
palpable37862698013160108130188237295318369
(76.7%)4179269801312476122141191269294
and44922698013149106164
6046752698013153106
(23.3%)4804269801312575127144197274298
were29762848013182136169222
impalpable.32242848013132123185237261322374436460515533
In3783284801313292
the39012848013143103158
case40852848013159111152207
of4318284801316898
an44412848013160120
impalpable45872848013132124185237261322374436460515
testis,2976299801313485126160183222241
the32412998013142100154
testis3419299801314293134169191230
or3673299801316799
its3796299801313265107
residue3927299801314193133155214271324
was42842998013179129169
located4478299801313189139189221273333
in4835299801313289
the49492998013142100154
groin2976314801316091148170228
2732293148013153103
times3356314801313557146199239
(45.0%).3619314801313080129146199281306321
In3964314801312482
134071314801315498
viable4193314801315174122182205258
testes,4475314801313586126161212252270
we47703148013180132
per‑49273148013161115146175
formed2976329801312986118208261321
orchidopexy;3323329801315890137195216276334394448496547566
in3913329801312482
1440203298013154100
cases,41443298013151101140193234252
fibrous4422329801312653112144201259298
tissue474432980131355796136193245
of5015329801315887
an29763448013150107
atrophic3103344801315081113169229287308356
testis3483344801313080120154176214
was37173448013179129168
removed.3909344801312879167225273325384403
Intra-abdominally,4336344801311976107139188222270329389447536557614662684706753766
a29763598013150
testis,3050359801313586126161183222240
its331435980131245899
atrophic3437359801315183115172232291312360
residue3822359801313384125146205262315
or4162359801315890
only42773598013159117140188
a44893598013151
vas45643598013150100140
deferens47293598013160112141193224276334373
was29763748013181133174
found3175374801313897157217278
3334783748013163115
times3618374801314366158213254
(55.0%).3898374801313890141159214297324340
Twenty-two42633748013161134188248281334368403487546
testes4834374801314396138174226268
were29763898013179132163215
located3215389801313189138188220271331
within35783898013180102136194215273
238753898013161
cm39613898013156145
from4131389801313669126215
the43703898013142100153
internal4547389801313189121172203262310333
ring,4904389801314063120180198
including2976404801312381129151208268289347406
a34064048013156
peeping34924048013161115169228251308368
testis,3884404801314091131165188227245
and41534048013156114173
orchidopexy4350404801316597143201223282340400454502553
was49334048013180129169
carried29764198013150102134168191246308
out.33094198013168128163183
In3517419801313292
two36344198013144128187
cases,38464198013159110151206248267
high4139419801316891152212
intra-abdominal4376419801313291124157209244294356418478570593652703726
retention2976434801313284117168226258280338396
(more33964348013131117175207259
than3679434801313694142200
239054348013154
cm39834348013150139
from4147434801313063119209
the4380434801313694147
internal4551434801312582114165196255304326
ring)4901434801313457115174201
was29764498013179129169
present,3165449801316193144184238295327346
and35314498013150108168
we37194498013179131
performed38714498013161115146178235267357410470
Fowler–Stephens43624498013151107185208261292343390421472531590643701740
orchidopexy.2976464801315889134191212270326385438485535548
In3547464801311975
two36464648013129109165
cases,3830464801314997136188227245
atrophic4094464801314981111167226283304351
testicular4468464801313080119152174221277298346376
tissue486746480131305189128183235
was29764798013179129169
found3169479801313491149207266
and34594798013155113172
removed.3655479801313889178237285337397416
Testicular40954798013156102142177199247304326375406
agenesis45254798013155115168226279319340379
was49334798013180129169
diagnosed2976494801316082130189247305345398459
in3459494801312380
seven3563494801314195143195253
cases.3840494801314999139192232252
Conclusion:31265096013365127192245273336383410474539563
To37175098013162117
diagnose3861509801317297149212274336379436
and43245098013162123186
treat4538509801314580135187222
an47885098013161123
im‑49385098013134127164
palpable29765248013161114139202254317343399
testis,3402524801314599142179204246267
an36965248013161122
exploration38445248013165115179205266300353388413474536
of44065248013170101
the45345248013145106162
inguinal4723524801313394157217241302354379
canal29765398013149101161212236
was32435398013179131173
sufficient34425398013146104135170195246270325385419
in3887539801312787
most40055398013190150192229
cases,42605398013154106148203245266
i.e.4552539801312848103123
in4701539801312787
a48145398013155
total4895539801313896131183207
of2976554801315889
4930895548013153105
testicles3220554801313285127163187237261316358
(81.7%).3604554801312780130144197279306323
A39515548013164
subsequent4041554801313997159201255317376431490524
exploration45895548013153103165190249283335369393452513
of2976569801315889
the3091569801313292147
abdominal32625698013150112174234325349408459483
cavity3771569801314899149174209262
had40585698013158109170
to4254569801313391
be43695698013161116
performed45105698013160116150184243277368423485
in5022569801312180
112976584801315497
(18.3%)3099584801313181130151207288315
impalpable34415848013125116178230254315368429455510
testes3977584801313689132169222264
KEY29786134014770134206
WORDS321161340147105189260345408
Cryptorchidism,2976629801316597151215249308342391451474536559600692711
impalpable37136298013133125187239263325377439464519
testis,4258629801314497139176199240260
inguinal4544629801313393155215238298349372
ap‑49426298013161123160
proach,2976644801316193149199248306324
laparoscopy.3324644801312372131181212269309358414474521534
………297665840147120235350
ÚVOD29787008018197183286388
Kryptorchismus3126734801315487137197229283315360417438476563618657
je3806734801311971
nejčastější38967348013158110131178226265299348369407428
diagnostikovanou4343734801315980127186242299338372393437493540589645702759
vrozenou2976749801314981136178228285342399
vývojovou33957498013149100152208230287334390447
vadou3861749801314998157214271
zevního4151749801314494142200221280337
genitálu45087498013159111168189221270292348
u48757498013158
no‑49527498013158116150
vorozenců29767648013150107139195237289347396453
mu34537648013190147
ského3645764801314186138196254
pohlaví39247648013160119178200249296319
(1,426776480131307789
3).438076480131537893