Abstract
Undescended testes are the most common genitourinary anomaly in males. In boys with cryptorchidism beyond 4 months of age, surgical correction is indicated, in order to optimize fertility and mitigate malignant risk. Ideally, testicles should be placed within the scrotum by the age of 18 months. This can be performed via an open inguinal or prescrotal procedure in boys with palpable undescended testes or using a laparoscopic procedure in boys with impalpable testes.
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Further Reading
Bianchi A, Squire BR. Transscrotal orchidopexy: orchidopexy revised. Pediatr Surg Int. 1989;4(3):189–92. https://doi.org/10.1007/BF00181983.
Chua ME, Mendoza JS, Gaston MJV, Luna SL, Morales ML. Hormonal therapy using gonadotropin releasing hormone for improvement of fertility index among children with cryptorchidism: a meta-analysis and systematic review. J Pediatr Surg. 2014;49(11):1659–67. https://doi.org/10.1016/j.jpedsurg.2014.06.013.
Feng S, Yang H, Li X, Yang J, Zhang J, Wang A, et al. Single scrotal incision orchiopexy versus the inguinal approach in children with palpable undescended testis: a systematic review and meta-analysis. Pediatr Surg Int. 2016;32(10):989–95.
Fowler R, Stephens F. The role of testicular vascular anatomy in the salvage of high undescended testes. Austrailian New Zeal J Sugery. 1959;29(1888):96–106.
Loebenstein M, Thorup J, Cortes D, Clasen-Linde E, Hutson JM, Li R. Cryptorchidism, gonocyte development, and the risks of germ cell malignancy and infertility: a systematic review. J Pediatr Surg. 2020;55(7):1201–10. https://doi.org/10.1016/j.jpedsurg.2019.06.023.
Milford K, Pokarowski M, Chua M, Lorenzo A, Koyle M. Unnecessary ultrasounds in children with undescended testes: an interrogation of the impact of the Choosing Wisely campaigns and clinical practice guidelines. Paediatr Child Health. 2021;26:1–6. https://doi.org/10.1093/pch/pxaa099/5918886.
Rowe CK, Adam MP, Ahn JJ, Merguerian PA, Shnorhavorian M. Yield of modern genetic evaluation for patients with proximal hypospadias and descended gonads. J Pediatr Urol. 2019;15(5):527.e1–6.
Shehata S, Shalaby R, Ismail M, Abouheba M, Elrouby A. Staged laparoscopic traction-orchiopexy for intraabdominal testis (Shehata technique) stretching the limits for preservation of testicular vasculature. J Pediatr Surg. 2016;51(2):211–5.
Sturm R, Kurzrock E, Amend G, Shannon R, Gong E, Cheng E. Blind ending vessels on diagnostic laparoscopy for nonpalpable testis: is a nubbin present? J Pediatr Urol. 2017;13(4):392.e1–6. https://doi.org/10.1016/j.jpurol.2017.04.010.
Vikraman J, Hutson JM, Li R, Thorup J. The undescended testis: clinical management and scientific advances. Semin Pediatr Surg. 2016;25(4):241–8.
Wayne C, Chan E, Nasr A. What is the ideal surgical approach for intra-abdominal testes? A systematic review. Pediatr Surg Int. 2015;31(4):327–38. https://doi.org/10.1007/s00383-015-3676-1.
Wood HM, Elder JS. Cryptorchidism and testicular cancer: separating fact from fiction. J Urol. 2009;181(2):452–61. https://doi.org/10.1016/j.juro.2008.10.074.
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Milford, K., Koyle, M. (2022). Undescended Testes. In: Mattei, P. (eds) Fundamentals of Pediatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-07524-7_103
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DOI: https://doi.org/10.1007/978-3-031-07524-7_103
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