De niet-scrotale testis: argumenten voor vroeg behandelen, mits retractiele testis en verworven niet-scrotale testis zijn uitgesloten
| Autor: | van der Horst, H.J.R., de Gier, R.P.E., De Jong, T.P.V.M., van den Hoek, J., Callewaert, P.R.H., Feitz, W.F.J. |
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| Přispěvatelé: | Urology, ICaR - Ischemia and repair, Paediatric Surgery |
| Rok vydání: | 2008 |
| Zdroj: | Nederlands Tijdschrift voor Geneeskunde, 152(5), 253-258. Bohn Stafleu van Loghum Nederlands tijdschrift voor geneeskunde, 152(5), 253-258. Bohn Stafleu van Loghum van der Horst, H J R, de Gier, R P E, De Jong, T P V M, van den Hoek, J, Callewaert, P R H & Feitz, W F J 2008, ' De niet-scrotale testis: argumenten voor vroeg behandelen, mits retractiele testis en verworven niet-scrotale testis zijn uitgesloten ', Nederlands Tijdschrift voor Geneeskunde, vol. 152, no. 5, pp. 253-258 . |
| ISSN: | 0028-2162 |
| Popis: | Guidelines for the treatment ofundescended testis (UDT) are sparse. Often an operation in the second year of life is advised. --Recent data indicate that the normal maturation process, which will ultimately lead to a normal quantity and quality of germ cells, is impaired as early as in the first half year of a newborn's life. None of the guidelines take this into account. Spontaneous descent after the fourth month following birth, of testes that have previously not descended, hardly ever occurs. --No differences have been shown in complication numbers between surgery before and after the first birthday. Orchidopexy prior to the 13th birthday reduces the risk of testicular cancer. --Therefore, based on these data, it is advised to perform orchidopexy in the second half of the first year of a newborn's life. In older boys a UDT must be treated before the 13th birthday. --In the Netherlands a lot more orchidopexies are done despite what may be expected based on prevalence numbers of UDT: testes retaining a normal volume that would most probably have descended spontaneously come puberty. --It remains important to carry out a careful physical examination and document the position of the testes soon after birth, and later on if UDT is suspected, to avoid unnecessary operations on retractile testes and acquired UDT |
| Databáze: | OpenAIRE |
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