Retractile testes: A review of the current literature

Keys, Charles; Héloury, Yves

doi:10.1016/j.jpurol.2011.03.016

Cited by 40 publications

(30 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Little is known about the implications on fertility in the context of a previously descended testis—current evidence is difficult to interpret, as it is largely retrospective, and definitions are heterogenous 17 18. There have been case reports of testicular tumours in ascending testes, but no clear evidence to support an increased risk of malignancy 19 20.…”

Section: Discussionmentioning

confidence: 99%

Undescended testis: 513 patients' characteristics, age at orchidopexy and patterns of referral

Nah

Yeo

How

et al. 2013

Archives of Disease in Childhood

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Undescended testis: 513 patients' characteristics, age at orchidopexy and patterns of referral

Nah

Yeo

How

et al. 2013

Archives of Disease in Childhood

View full text Add to dashboard Cite

show abstract

“…The most frequent histological finding is fibrovascular nodule with associated hemosiderin deposition and dystrophic calcification. Residual tubules of the testes are present in < 10% of cases (43). Physical examination Brought to you by | New York University Bobst Library Technical Services Authenticated Download Date | 8/6/15 11:15 AM or scrotal exploration demonstrates tissue nubbins or small nodules.…”

Section: Classification and Definitionsmentioning

confidence: 99%

“…Testis also resides spontaneously in the scrotum some of the time. There is no evidence that retractile testis is associated with increased risk of acute torsion or malignancy (43).…”

Section: Classification and Definitionsmentioning

confidence: 99%

Putting the pieces together: cryptorchidism – do we know everything?

Komarowska

Hermanowicz

Dębek

2015

Journal of Pediatric Endocrinology and Metabolism

View full text Add to dashboard Cite

Cryptorchidism is one of the most common birth defects in male children, and it has a potential impact on future health. It is the best-characterized risk factor for reduced fertility and testicular cancer. However, the etiology of cryptorchidism remains largely unknown. In the literature, we find different opinions and theories on this topic. Probably, the etiology is multifactorial, and hormonal, genetic and environmental factors may regulate testicular development and descent from intra-abdominal location into the bottom of the scrotum. The descent of the testis is a complex, two-stage process. A critical role in testicular descent has been attributed to androgens, insulin-like hormone 3 (insl3) and anti-Müllerian hormone. It is believed that interaction between Leydig and Sertoli cells may cause impaired spermatogenesis. Based on recent knowledge of germ cell development, it is believed that the best treatment for undescended testis is orchiopexy between 6th and 12th month of life. Long follow-up studies are needed to focus on the effect of this recommendation.

show abstract

“…This result implies that care should be taken during the examination of patients with retractile testis to make a differential diagnosis with undescended testis. Much research has shown that a retractile testis may become an undescended testis during follow-up and annual or biannual follow-up for boys with retractile testis has been recommended [3,6,20]. In this study, the ratio of boys requiring orchiopexy for any reason was 16.3%.…”

Section: Discussionmentioning

confidence: 69%

Long-Term Outcomes of Retractile Testis

2012

View full text Add to dashboard Cite

PurposeRetractile testis is considered to be a variant of normal testis in prepubertal boys. There is no agreed-upon management of retractile testis. The aim of this study was to provide data on the long-term outcomes of patients with retractile testis.Materials and MethodsThis study retrospectively reviewed the medical record of 43 boys who were referred for suspected undescended or retractile testis and were finally diagnosed with retractile testis between January 2001 and December 2008. All boys were biannually examined by a pediatric urologist to evaluate the presence of retractile, descended, or undescended testis and testicular volume.ResultsOf 43 boys, there were 22 boys with unilateral retractile testis (51.1%) and 21 boys with bilateral retractile testis (48.9%). Their mean age was 3.0±2.7 years and the follow-up duration was 4.4±1.7 years. Of 64 retractile testes, 29 (45.3%) succeeded in descending, 26 (40.6%) remained retractile, and 9 (14.1%) became undescended testis or of a decreased size requiring orchiopexy. The mean initial diagnostic age of the patients who underwent orchiopexy was 1.3±0.9 years; meanwhile, the mean initial diagnostic age of those who went on to have normal testis was 4.3±3.3 years (p=0.009). The mean follow-up duration was 3.6±1.5 years in the orchiopexy group, 4.0±1.4 years in the descended testis group, and 5.1±1.8 years in group with remaining retractile testis.ConclusionsRetractile testis has a risk of requiring orchiopexy. The risk is higher in the population diagnosed at a younger age. Boys with retractile testis should be observed periodically until the testis is descended in the normal position.

show abstract

Retractile testes: A review of the current literature

Cited by 40 publications

References 29 publications

Undescended testis: 513 patients' characteristics, age at orchidopexy and patterns of referral

Undescended testis: 513 patients' characteristics, age at orchidopexy and patterns of referral

Putting the pieces together: cryptorchidism – do we know everything?

Long-Term Outcomes of Retractile Testis

Contact Info

Product

Resources

About