Management of undescended testes

Rate :

Describtion


Management of undescended testes: European Association of Urology/European Society for Paediatric Urology Guidelines

Review Article/2016
Christian Radmayr a , Hasan S. Dogan b , Piet Hoebeke c , Radim Kocvara d , Rien Nijman e , Raimund Stein f , Shabnam Undre g , Serdar Tekgul b

Summary
Context Undescended testis is the most common endocrinological disease in the male newborn period. Incidence varies between 1.0% and 4.6% in full-term neonates, with rates as high as 45% in preterm neonates. Failure or delay of treatment can result in reduced fertility and/or increased testicular cancer risk in adulthood. Objective To provide recommendations for the diagnosis and treatment of boys with undescended testes which reduce the risk of impaired fertility and testicular cancer in adulthood. Evidence acquisition Embase and Pubmed were searched for all relevant publications, from 1990 to 2015 limited to English language. Data were narratively synthesized in light of methodological and clinical heterogeneity. The risk of bias of each included study was assessed. Evidence synthesis There is consensus that early treatment, by 18 months at the latest, for undescended testes is mandatory to avoid possible sequelae regarding fertility potential and cancer risk. The current standard therapy is orchidopexy, while hormonal therapy is still under debate. However, in some individuals the successful scrotal placement of previously undescended testes may not prevent potential negative long-term outcomes regarding fertility and testicular malignancy. Conclusions There is good evidence for early placement of undescended testes in the scrotal position to prevent potential impairment of fertility and reduce the risk of testicular malignancy. No consensus exists on the various forms of hormonal treatment, which are assessed on an individual basis.
download full article from download link

Comments : 11

  • Faison

    Professor   |     |  
      |   8/14/2020 4:56:13 PM
    I'm gone to tell my little brother, that he should also
    pay a quick visit this webpage on regular basis to get updated from
    most recent news.
  • Slama

    Professor   |     |  
      |   8/11/2020 8:20:44 AM
    I have read so many articles or reviews on the topic of the blogger lovers except this piece
    of writing is actually a nice article, keep it
    up.
  • Payten

    Professor   |     |  
      |   7/30/2020 4:01:09 PM
    each time i used to read smaller articles or reviews
    that also clear their motive, and that is also happening with this paragraph which I am reading now.
    adreamoftrains website host
  • Guerra

    Professor   |     |  
      |   8/31/2020 9:55:18 AM
    Piece of writing writing is also a excitement, if you
    be familiar with then you can write otherwise
    it is complex to write.
  • Hess

    Professor   |     |  
      |   6/21/2020 2:34:36 AM
    Your style is really unique in comparison to other folks
    I've read stuff from. Thanks for posting when you have the opportunity, Guess I will just bookmark this page.
  • Follansbee

    Professor   |     |  
      |   8/31/2020 7:07:30 PM
    Woah! I'm really digging the template/theme of this website.
    It's simple, yet effective. A lot of times it's very difficult
    to get that "perfect balance" between usability and appearance.
    I must say you have done a superb job with this. In addition, the blog loads super quick for me on Firefox.
    Excellent Blog!
  • Abdullah

    Professor   |     |  
      |   8/31/2020 8:42:29 PM
    Have you ever considered creating an e-book or guest
    authoring on other blogs? I have a blog based on the
    same information you discuss and would love to have you share some stories/information. I know my audience would value your work.
    If you're even remotely interested, feel free to send me an e-mail.
  • Greathouse

    Professor   |     |  
      |   6/27/2020 11:19:54 AM
    I really like what you guys are up too. This type of clever work and coverage!
    Keep up the very good works guys I've included you
    guys to blogroll.
  • Goble

    Professor   |     |  
      |   8/27/2020 10:08:38 AM
    This site was... how do you say it? Relevant!! Finally I've found something that helped me.
    Cheers!
  • Storm

    Professor   |     |  
      |   6/23/2020 5:43:42 AM
    You've made some good points there. I checked on the net for
    more info about the issue and found most individuals will go along with your views on this website.
  • Socha

    Professor   |     |  
      |   6/26/2020 8:07:36 AM
    Excellent beat ! I would like to apprentice while you amend
    your site, how could i subscribe for a blog website?
    The account aided me a acceptable deal. I had been a little bit acquainted of this your broadcast offered bright clear concept
  • Leave message

    Your rating:
     
    Security code