The undescended testis: Clinical management and scientific advances

Abstract Undescended testes (UDT), where one or both testes fail to migrate to the base of the scrotum, can be congenital (2–5% of newborn males) or acquired (1-2% of males). The testis may be found in any position along its usual line of descent. Cryptorchidism affects the developing testicular ger...

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Published inSeminars in pediatric surgery Vol. 25; no. 4; pp. 241 - 248
Main Authors Vikraman, Jaya, MBBS, Dip Surg Anat, DCH, Hutson, John M., BS, MD (Monash), MD, DSc (Melb), FRACS, FAAP, Li, Ruili, PhD, Thorup, Jorgen, MD, PhD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.08.2016
Subjects
Classification
Combined Modality Therapy
Cryptorchidism
Cryptorchidism - diagnosis
Cryptorchidism - therapy
Gonadotropin-Releasing Hormone - therapeutic use
Hormone Replacement Therapy
Humans
Imaging
Male
Orchiopexy
Pediatrics
Surgery
Surgical management
Testicular descent
Undescended testis
Surgical management
Cryptorchidism
Undescended testis
Testicular descent
Imaging
Classification
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Summary:Abstract Undescended testes (UDT), where one or both testes fail to migrate to the base of the scrotum, can be congenital (2–5% of newborn males) or acquired (1-2% of males). The testis may be found in any position along its usual line of descent. Cryptorchidism affects the developing testicular germ cells and increases the risk of infertility and malignancy. Clinical management aims to preserve spermatogenesis and prevent the increased risk of seminoma. Examination to document the testicular position will guide the need for imaging, medical management and the surgical approach to orchidopexy.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
ISSN:1055-8586
1532-9453
DOI:10.1053/j.sempedsurg.2016.05.007