Cryptorchidism – the need of early diagnostics and treatment
Authors:
M. Michalisko; M. Vidiščák; E. Dobríková; J. Novotný; R. Koreň; E. Murár
Authors‘ workplace:
Klinika detskej chirurgie SZU, Detská fakultná nemocnica s poliklinikou, Banská Bystrica
prednosta prof. MUDr. M. Vidiščák, PhD., FEBPS
Published in:
Čes-slov Pediat 2014; 69 (1): 29-38.
Category:
Reviews
Overview
Cryptorchidism is the most common congenital anomaly of the male genitalia meaning the absence of testicles in the scrotum. Approximately 5% of full-term newborn males have undescended testicle, at the age of 12 months it is only 1%. As in the 6th month there starts a decrease of germ cell count and the spontaneous descent after this age is rare, the therapy of cryptorchidism should start already at this age and should be completed until the age of 18 months. If the testicle is palpable the orchidopexy from the inguinal approach is indicated. If the testicle is unpalpable the diagnostic laparoscopy is indicated. If a low intra-abdominal testicle is found, one-stage orchidopexy without transection of testicular vessels is possible, if a high intra-abdominal testicle is found one or two stage orchidopexy with the transection of testicular vessels is performed.
At the present time the postoperative hormonal treatment becomes significant in the treatment of the cryptorchidism and may have a beneficial effect on fertility. The hormonal treatment is still controversial and has many opponents despite the positive influence on the fertility, yet it is still not a standard treatment for cryptorchidism.
Key words:
cryptorchidism, consequences of cryptorchidism, treatment of cryptorchidism
Sources
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Labels
Neonatology Paediatrics General practitioner for children and adolescentsArticle was published in
Czech-Slovak Pediatrics
2014 Issue 1
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