The undescended testis in children and adolescents part 2: evaluation and therapeutic approach
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Read the article on pubmed.ncbi.nlm.nih.gov ↗Article · Aug 2022 · 1 min read
In brief
In brief
This clinical review presents evidence-based evaluation and treatment protocols for undescended testis in pediatric patients. The authors provide a treatment algorithm to guide surgical timing and approach, with the primary goals of reducing long-term risks of infertility and testicular malignancy through appropriate intervention.
- Undescended testis increases risk of infertility and testicular cancer if left untreated in childhood.
- Management goal is to reduce infertility and tumor risk through timely intervention based on clinical findings.
- Treatment approach should follow evidence-based protocols tailored to individual patient presentation.
- Early diagnosis and appropriate surgical timing are critical for optimal long-term outcomes.
- Pediatric surgeons and urologists should use standardized flow charts to guide UDT management decisions.
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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