Nordic consensus on treatment of undescended testes
| Autor: | Jorma Toppari, S Lindahl, Niels Jørgensen, Peer Christiansen, Göran Läckgren, Helena E. Virtanen, Jorgen Thorup, Agneta Nordenskjöld, E. Martin Ritzén, K M Main, E. Rajpert-De Meyts, Robert Bjerknes, Dina Cortes, Olof Söder, Anders Bergh, A Thorsson, S E Haugen, Claude Kollin, Seppo Taskinen |
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| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Paediatric surgery business.industry General surgery medicine.medical_treatment Decision Trees 030232 urology & nephrology Infant General Medicine 3. Good health Surgery 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Cryptorchidism Pediatrics Perinatology and Child Health Humans Medicine Anesthesia Orchiopexy Long Term Adverse Effects Congenital disease Child business |
| Zdroj: | Acta Paediatrica. 96:638-643 |
| ISSN: | 1651-2227 0803-5253 |
| DOI: | 10.1111/j.1651-2227.2006.00159.x |
| Popis: | Aim: To reach consensus among specialists from the Nordic countries on the present state-of-the-art in treatment of undescended testicles. Methods: A group of specialists in testicular physiology, paediatric surgery/urology, endocrinology, andrology, pathology and anaesthesiology from all the Nordic countries met for two days. Before the meeting, reviews of the literature had been prepared by the participants. Recommendations: The group came to the following unanimous conclusions: (1) In general, hormonal treatment is not recommended, considering the poor immediate results and the possible long term adverse effects on spermatogenesis. Thus, surgery is to be preferred. (2) Orchiopexy should be done between 6 and 12 months of age, or upon diagnosis, if that occurs later. (3) Orchiopexy before age one year should only be done at centres with both paediatric surgeons/urologists and paediatric anaesthesiologists. (4) If a testis is found to be undescended at any age after 6 months, the patient should be referred for surgery—to paediatric rather than general surgeons/urologists if the boy is less than one year old or if he has bilateral or non-palpable testes, or if he has got relapse of cryptorchidism. |
| Databáze: | OpenAIRE |
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