CONGENITAL ANORCHISM - DIAGNOSTIC AND THERAPEUTIC ASPECTS

Eight patients with congenital anorchism were examined and treated. Pl asma LH, FSH, and testosterone concentrations and the saliva testoster one level were measured by RIA in 3 patients. The results showed a 2.7 5 times increase in LH level, a 1.66 times increase in FSH level, and hardly measurable serum and saliva testosterone amounts. A dynamic pro vocating test was applied in 4 patients by Pregnyl (2000 and 4000 IU) and the results showed absence of the gonads. The semen quality contro l manifested a low volume of ejaculate and aspermia. Scyntiscanning of 6 patients demonstrated no functional testicular parenchyma. Substitu te androgene therapy in patients with diagnosed anorchism gave good re sults, which suggests that this treatment is appropriate and promising . Implantation of testiculoprostheses by using silicon aloplastic mate rial corrects the cosmetic defect and overcomes the physiological barr ier caused by the biological inferiority complex.