StayCurrentMD · The undescended testis in children and adolescents part 2: evaluation and therapeutic approach
Article1 min read·Published Aug 2022Older

The undescended testis in children and adolescents part 2: evaluation and therapeutic approach

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Article · Aug 2022 · 1 min read

In brief

In brief

This second-part review provides an evidence-based evaluation and treatment approach for undescended testis in pediatric patients. The authors present a clinical flow chart to guide surgical decision-making aimed at reducing long-term risks of infertility and testicular malignancy.

Written by the GCMD Library team from the article.

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.

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