Management of cryptorchidism in children: guidelines

Gapany, Christophe; Frey, Peter; Cachat, Françoise; Gudinchet, Françoise; Jichlinski, Patrice; Meyrat, Blaise; Ramseyer, Pascal; Theintz, G; Burnand, Bernard

doi:10.4414/smw.2008.12192

Cited by 17 publications

(5 citation statements)

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“…An interesting and controversial theory suggests that the epididymis is one of the organs responsible for testicular migration, through its peristaltic and secretory activity in the second gestational trimester (20). This theory would explain some cases of cryptorchidism, where the epididymis is separated and located lower than the testis (21).…”

Section: Discussionmentioning

confidence: 99%

Epididymal disjunction anomalies in undescended testis – a factor associated with spermatic obstruction

et al. 2022

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Background:To analyze the incidence of epididymal anomalies (EAs) associated to spermatic obstruction in patients with undescended testis (UT) according to testicular position and age. Materials and Methods: We studied 87 patients (110 testis) with cryptorchidism and analyzed the presence of EAs correlated with the testicular position, age and patency of the processus vaginalis (PV). To analyze the relations between the testis and epididymis we considered three situations: (a) Normal pattern: the epididymis was attached to the testis at the head and tail and epididymis totally attached to the testis; (b) EAs: when the epididymis was attached to the testis only at the head (Figure -1A) and (c) EAs associated to spermatic obstruction: epididymis was attached to the testis only at the tail (Figure -1B) and when there are no visible connection between testis and epididymis (Figure -1C). We used the Wilcoxon-Mann-Whitney test and the Chi-square test for contingency analysis (p <0.05). Results: The mean age of the patients was 5.18 years (SD=2.867). Of 110 testes analyzed, 14 were abdominal (12.72%); 83 inguinal (75.45%) and 13 suprascrotal (11.81%). Normal relationships between testis and epididymis were observed in 54 patients (62.1%) with no significant differences in relation to the patient's age (p=0.666). Epididymal tail disjunction was observed in 23 patients (26.44%), with no significant differences in relation to age (p=0.59). EAs associated to spermatic obstruction were observed in 16 patients (18.4%), also with no significant differences in relation to age (p=0.684). We did not observe significant correlation between the testis position and the incidence of EAs (p=0.119). We did not observe significant correlations between patency of the PV (64.7%) and incidence of EAs (p=0.742). Conclusions: Epididymal anomalies associated with spermatic obstruction are present in almost 20% of undescended testes, without significant correlation with age, testicular position and patency of the PV. This information needs to be correlated to the infertility risk of this congenital anomaly.

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Section: Discussionmentioning

confidence: 99%

Epididymal disjunction anomalies in undescended testis – a factor associated with spermatic obstruction

et al. 2022

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“…Cryptorchidism is the most common birth anomaly among boys [2]. This anomaly has various complications such as increased risk of testicular cancer, hernia, testicular torsion, fertility, and psychological distress [8]. Until now two different methods have been advocated for treating an undescended testis: hormonal therapy with HCG and surgery.…”

Section: Discussionmentioning

confidence: 99%

“…However, in many parts of Europe hormonal therapy has remained as the treatment of choice [2]. Surgery is the standard treatment of cryptorchidism [8]. The main goal of surgical treatment of cryptorchidism is to place testis in a scrotal position without iatrogenic atrophy [9].…”

Section: Cryptorchidismmentioning

confidence: 99%

The Evaluation of Laparoscopic Orchiopexy on the Treatment of Non-palpable Undescended Testes

Ghorbanpoor¹,

Amirzargar²,

Derakhshanfar³

et al. 2016

BJMMR

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Objectives: Cryptorchidism is the most frequent birth anomaly in boys with 2-5% prevalence in full term infants. This anomaly is associated with an increased risk of testicular cancer and infertility as well as hernia, testicular torsion, and psychological distress. Surgery is the main treatment for this anomaly. This study aimed to evaluate the therapeutic efficacy of laparoscopic orchiopexy in the treatment of non-palpable undescended testis. Methods: Forty patients with a non-palpable testis were evaluated by laparoscopic orchiopexy in a hospital in Hamedan city, Iran, during 2006 to 2009. The average age of patients was 19±12.16 months old. The patients were followed up after the surgery and three months later to assess the response to treatment and the testicular atrophy. Results: Thirteen patients did not have a testis in the laparoscopic investigation and six patients had testis located in the inguinal canal. So they were excluded from the analysis. Seventeen patients were treated by one-staged laparoscopic orchiopexy while four patients were treated by two-staged Fowler-Stephens laparoscopic orchiopexy. The success rate for the

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“…No entanto, essa taxa diminui para 38% quando realizado o tratamento adequado. Dessa forma, nota-se que a possibilidade dos pacientes com testículo não descido de ter ou não filhos está relacionada com o tipo de criptorquidia, se unilateral ou bilateral e, também, com a realização ou não do tratamento (Gapany et al, 2008).…”

Section: Faixa Etária Porcentagem (%) Número De Pacientesunclassified

“…Em relação à probabilidade do acometimento de câncer em pacientes com criptorquidia, o risco de câncer em células germinativas é cinco vezes maior do que na população sem essa desordem clínica e 10% dos casos de neoplasia do testículo estão relacionados com a ocorrência da criptorquidia (Gapany et al, 2008). O risco de câncer testicular é determinado ainda na vida uterina, mas estudos demonstram que a cirurgia de orquidopexia realizada até a idade de 13 anos do paciente reduz esse risco.…”

Section: Faixa Etária Porcentagem (%) Número De Pacientesunclassified

A Relevância Da Limpeza Hospitalar No Combate a Infecção Cruzada

Rocha,

Costa

2024

Multifaces Da Pesquisa Em Ciências Da Saúde: Gestão, Assistência Eeducação

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Os autores desta obra assumem publicamente a responsabilidade pelo seu conteúdo, garantindo que o mesmo é de autoria própria, original e livre de plágio acadêmico. Os autores declaram, ainda, que o conteúdo não infringe nenhum direito de propriedade intelectual de terceiros e que não há nenhuma irregularidade que comprometa a integridade da obra. Os autores assumem integral responsabilidade diante de terceiros, quer de natureza moral ou patrimonial, em razão do conteúdo desta obra. Esta declaração tem por objetivo garantir a transparência e a ética na produção e divulgação do livro. Cumpre esclarecer que o conteúdo é de responsabilidade exclusiva dos autores, não refletindo, necessariamente, a opinião da editora, organizadores da obra ou do conselho editorial.

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Management of cryptorchidism in children: guidelines

Cited by 17 publications

References 50 publications

Epididymal disjunction anomalies in undescended testis – a factor associated with spermatic obstruction

Epididymal disjunction anomalies in undescended testis – a factor associated with spermatic obstruction

The Evaluation of Laparoscopic Orchiopexy on the Treatment of Non-palpable Undescended Testes

A Relevância Da Limpeza Hospitalar No Combate a Infecção Cruzada

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