The undescended testis in children and adolescents part 2: evaluation and therapeutic approach
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In brief
In brief
This clinical review presents evaluation and treatment strategies for undescended testis in pediatric patients, focusing on reducing long-term risks of infertility and testicular malignancy. The authors provide a treatment algorithm to guide pediatric surgeons and urologists in timing and approach to intervention based on clinical presentation.
Written by the GCMD Library team from the article.
Abstract
Undescended testis (UDT) is defined as failure of a testis to descend into the scrotum and it is a common reason for consultation in pediatric urology. As extensively discussed in “The undescended testis in children and adolescents: part 1”, the failure of a testis to descend alters testicular germ-cells development, increasing the risk of infertility and testicular cancer in adulthood. Here, we present the second part of our review and analysis of this topic with the aim to propose an updated and well-informed approach to UDT together with a treatment flow chart that may be useful to guide pediatric surgeons and urologists in the care of these patients. The main goal of the management of patients with UDT is to diminish the risk of infertility and tumor development and is based on the clinical findings at the time of diagnosis.