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Active, not recruitingNCT07586332Updated May 14, 2026

INVESTIGATION OF THE GENETIC ETIOLOGY OF HERNIA SAC DEVELOPMENT IN MALE CHILDREN WITH UNDESCENDED TESTIS AND INGUINAL HERNIA

An observational study in Indirect Inguinal Hernia and Undescended Testis, sponsored by Trakya University. Active, not recruiting at 1 site in Turkey (Türkiye). Open to male participants aged Up to 18 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-14.

Sponsored by Trakya University · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
3
Ages
Up to 18 Years
Sex
Male
01

Study summary

The aim of the project is to elucidate the genetic etiology underlying the development of the processus vaginalis (PV) in male children with indirect inguinal hernia (IIH) and undescended testis (UT), through the investigation of potential variants in the INSL3, WT1, and GATA6 genes using next-generation sequencing (NGS), and to explore possible differences in the tissue-level expression of these genes by real-time PCR analysis.

Indirect inguinal hernia represents a significant clinical problem for human health, due to its high prevalence in the population and its potential to cause life-threatening conditions or permanent functional loss. The treatment of both of these conditions, under current circumstances, requires surgical intervention. In the course of IIH, segmental loss of reproductive organs and intestines in both girls and boys, together with ischemia-reperfusion injury occurring in these tissues, constitute serious medical complications that cannot be overlooked. Furthermore, the substantial economic cost associated with the management of such severe complications necessitates meticulous control of the process. UT, on the other hand, is being observed with increasing frequency today and represents a significant health problem in society, as it is closely associated with reproductive disorders.

Clarifying the mechanisms underlying the pathogenesis of both inguinal region diseases will make a critical contribution not only to protecting individual health, but also to advancing societal well-being and scientific knowledge. Moreover, the data obtained from this study are expected to provide new perspectives for IIH and UT treatment approaches and form a scientific basis for future studies in the field.

This prospective cross-sectional study will comprise 20 patients with indirect inguinal hernia, 20 patients with undescended testis, and 20 patients undergoing circumcision, consecutively admitted to the Department of Pediatric Surgery, Faculty of Medicine, Trakya University. Patent processus vaginalis tissues excised during surgery from patients with IIH and UT, and preputial tissues obtained from patients in the circumcision group, will be collected. Tissue and blood samples taken from the patients will be transferred to the Department of Medical Genetics, Faculty of Medicine, Trakya University, for further analyses.

02

Conditions studied

  • Indirect Inguinal Hernia
  • Undescended Testis

Keywords

  • children
  • inguinal hernia
  • undescended testis
  • processus vaginalis
  • gata6
  • wt1
  • insl3
03

In context

Hernia, Inguinal

543 studies on the registry are indexed under Hernia, Inguinal; 92 are open to participants now.

This study's enrollment of 3 is below the median of 134 across 137 observational studies indexed under Hernia, Inguinal.

Browse Hernia, Inguinal studies →

Lead sponsor

Trakya University is the lead sponsor of 155 studies on the registry; 15 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 18 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Patients who present to the Pediatric Surgery Outpatient Clinic of Trakya University Faculty of Medicine between September 2025 and September 2026, including 20 diagnosed with IIH, 20 diagnosed with IT, and 20 presenting for circumcision, and for whom informed consent has been obtained, will be consecutively enrolled in the study.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • All pediatric age groups
  • Patients with Indirect Inguinal Hernia without additional systemic or inguinoscrotal diseases
  • Patients with Undescended Testis without additional systemic or inguinoscrotal diseases
  • Patients requesting circumcision without additional systemic or inguinoscrotal diseases
  • Healthy children undergoing circumcision for traditional reasons

Exclusion criteria

Exclusion Criteria:

  • Patients with recurrence, hydrocele, prior abdominal/inguinoscrotal surgery, genetic disorders, or incarcerated/strangulated IIH
  • Any syndromic disease
  • Bilateral IIH patients
  • Bilateral UT patients
  • Patients with hypospadias, micropenis, disorders of sex development, or genitourinary anomalies/diseases
  • Presence of umbilical, femoral, Spigelian, or lumbar hernia
  • History of premature birth
05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
3 participants (actual)
Target follow-up
14 Days
Patient registry
Yes
Biospecimen retention
Samples with dna
06

What researchers measure

Primary outcomes

  1. Identification of Genetic Variants in INSL3, WT1, and GATA6 Genes

    Investigation of potential genetic variants and mutations in INSL3, WT1, and GATA6 genes using Next-Generation Sequencing (NGS) from both processus vaginalis (PV) tissues and genomic DNA obtained from leukocytes.

    Time frame: Up to 3 months after completion of the study

Secondary outcomes

  1. Analysis of Gene Expression Levels in Processus Vaginalis Tissues

    Evaluation of the mRNA expression levels of INSL3, WT1, and GATA6 genes in PV tissues using Real-Time PCR to determine tissue-specific differences in gene regulation.

    Time frame: Up to 3 months after completion of the study

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2025 to primary completion in Apr 2026, 7 months.

Of 51 non-industry observational studies under Hernia, Inguinal, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 68. This study's 7 months is below that.

Counting every sponsor, half of 57 studies reached it within 18 months; a quarter within 9 and three quarters within 68.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 30, 2026
First posted
May 14, 2026
StartActual
Sep 9, 2025
Primary completionActual
Apr 10, 2026
CompletionEst.
Mar 1, 2027
Last update
May 14, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07586332
Lead sponsor
Trakya University
Responsible party
Mehmet Said Koprulu (Resident, Trakya University) — Principal investigator
First posted
May 14, 2026
Start date
Sep 9, 2025
Primary completion
Apr 10, 2026
Completion
Mar 1, 2027 (estimated)
Last update
May 14, 2026

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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