Management of boys with nonpalpable undescended testis

被引:25
作者
Esposito, Ciro [1 ]
Caldamone, Anthony A. [3 ]
Settimi, Alessandro [2 ]
El-Ghoneimi, Alaa [4 ,5 ]
机构
[1] Univ Naples Federico II, Dept Pediat, I-80129 Naples, Italy
[2] Univ Naples Federico II, Dept Pediat Surg, I-80129 Naples, Italy
[3] Brown Univ, Sch Med, Hasbro Childrens Hosp, Div Urol, Providence, RI 02912 USA
[4] Univ Paris 07, Fac Med, Paris, France
[5] Univ Hosp Robert Debre, Dept Pediat Surg & Oncol, Paris, France
来源
NATURE CLINICAL PRACTICE UROLOGY | 2008年 / 5卷 / 05期
关键词
laparoscopy; nonpalpable testes; orchidopexy; pediatrics;
D O I
10.1038/ncpuro1102
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Cryptorchidism is one of the most common genitourinary disorders in young boys. Although the management of boys with palpable testis is standardized, there are no formal guidelines for the management of boys with nonpalpable testis. In this Review we look at the current trends in the diagnosis and treatment of this disorder, as well as the indications for therapy and surgical procedures. On the basis of current evidence, we find that there is no optimum orchidopexy technique for the treatment of intra-abdominal testis, although it is preferable to adopt techniques that preserve the spermatic vessels. We also briefly examine the follow-up of patients with this disorder and its common complications. As yet, there are no data that assess the potential of laparoscopic orchidopexy being a risk factor for impaired fertility later in life.
引用
收藏
页码:252 / 260
页数:9
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