[Size of testes and epididymes in boys up to 17 years of life assessed by ultrasound method and method of external linear measurements].

AIMS: 1. Determination of the size of testes and epididymes on the right and left side, in healthy boys in various age groups with use of non-invasive ultrasound examination method and the method of external linear measurements. 2. Determination of age, when intensive growth of testicular and epididymal size starts. 3. Determination whether there are statistically significant differences between the size of the right and the left testis, as well as between the right and left epididymis. 4. Evaluation of the ultrasound method and method of external linear measurements in their use for scientific investigations.
MATERIAL AND METHODS: 309 boys, aged from 1 day to 17 years of life, treated in the Clinical Department of Paediatric Surgery and Traumatology of the Medical University in Lublin from 2009 to 2010 due to diseases needed to be treated surgically, but not the scrotum, were examined in this study. No pathologies influencing the development of genital organs were found in these boys. Dimension of the testes was studied with ultrasound method and with method of external linear measurements. Dimension of epididymes was only examined with ultrasound method. In every age group the author calculated mean arithmetical values for: testiscular length, thickness, width and volume, as well as epididymal depth and basis. With consideration of standard deviation (X+/-1 SD) it was possible to define the range of dimension of healthy testes and epididymes and their change with age. Final dimensions of the right and left testis as well as of the right and left epididymis were compared. Dimensions of the testis on the same side of body acquired with the ultrasound method and acquired with the method of external linear measurements were compared. Statistical work-up with Wilcoxon test for two dependent groups was implemented. RESULTS OF STUDIES: Ultrasound evaluation pointed to intensive 2.5-times increase in testicular length and width, and 2-times increase in testicular thickness in boys aged 10 to 17 years. Mean volume of neonatal testis is 0.35 ml. From 10th year of life, the testicular volume increases 10-times from 1.36 ml to 12.83 ml in 17th year of life. Depth of epididymis measured with ultrasound method is always greater than its basis. Both these dimensions increase quickly from the 10th year of life. Measurements done with the caliper on the average overestimate testicular length by 5.7 mm, its thickness by 2.9 mm and its width by 1.4 mm, comparing with ultrasound method. There were no statistically important differences between dimension of the right and left testis. Differences between dimension of the right and left epididymis are statistically significant.
CONCLUSIONS: 1. Age is the main factor influencing testicular size in boys. 2. Intensive growth of testes starts in the 10th year of life, of epididymes in 12th year of life. 3. Testicular volume is the most precise description of its size. There are no statisticallysignificant differences between volume of the right and left testis. Differences between dimension, described by the depth and basis of the right and left epididymis are statistically significant. 4. Ultrasound method and method of external linear measurements with the caliper have similar diagnostic value in comparing the size of both testes. 5. Measurements of testicular size with ultrasound method have much greater value for detail evaluation than the method of external linear measurements with the caliper, which does not regard thickness of the skin and testicular coats, as well as the epididymal head which is often situated on the upper end of the testis.