Management of undescended testis.
Document Type
Article
Publication Date
10-1-2024
Identifier
DOI: 10.1097/MOP.0000000000001387
Abstract
PURPOSE OF REVIEW: Describe why this review is timely and relevant.Undescended testis, or cryptorchidism, is a common diagnosis encountered by pediatricians that requires timely collaboration with pediatric surgical specialists to optimize outcomes for these patients. As this topic continues to be heavily researched, it is imperative to understand current recommendations and emerging management options including new surgical techniques, as well as common pitfalls in care highlighted in the literature.
RECENT FINDINGS: Describe the main themes in the literature covered by the article.This review primarily examines current practice in management including delays in surgical referral, with unnecessary imaging being a key factor that delays time to surgery. This review briefly discusses the diagnosis of undescended testis and the various surgical techniques used including the more recently proposed laparoscopic staged traction orchiopexy (Shehata technique). The ineffectiveness of hormonal therapy is also addressed.
SUMMARY: describe the implications of the findings for clinical practice or research.This review emphasizes prompt evaluation and diagnosis of undescended testis to facilitate appropriately timed surgical intervention, which plays a major role in outcomes for these patients. Identifying patients at risk of delayed referral is an area of focus for improvement, along with better resource utilization with fewer imaging. Familiarization of surgical options can also facilitate better patient education and provider understanding of risks/benefits.
Journal Title
Current opinion in pediatrics
Volume
36
Issue
5
First Page
554
Last Page
561
MeSH Keywords
Humans; Cryptorchidism; Male; Orchiopexy; Laparoscopy; Referral and Consultation; Time-to-Treatment; Child
Keywords
Cryptorchidism; Orchiopexy; Laparoscopy; Referral and Consultation; Time-to-Treatment
Recommended Citation
Saylors S, Oyetunji TA. Management of undescended testis. Curr Opin Pediatr. 2024;36(5):554-561. doi:10.1097/MOP.0000000000001387
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