PMID: 18407107Sep 1, 1992Paper

Management of cryptorchidism

Trends in Endocrinology and Metabolism : TEM
P Saenger, E O Reiter

Abstract

The forces guiding testicular descent have not been completely elucidated. Both testosterone and anti-Müllerian hormone might play a role. Available evidence suggests that malfunction of the testes of some sort usually precedes maldescent. The proper management of cryptorchidism has long been a controversial issue. In unilateral cryptorchidism, hormonal function and fertility are generally normal. To maximize fertility in patients with bilateral cryptorchidism, surgical treatment should be completed ideally by the first birthday. GnRH is unlikely to be of much help in initiating testicular descent. Cryptorchidism is associated with a three- to tenfold increase in testicular cancer. Twenty percent of tumors in unilateral cryptorchidism are in the normally descended testes. The condition of all boys and men with a history of cryptorchidism should be followed by physicians their entire lives, and these boys and men must become proficient in self-examination.

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Citations

Sep 5, 1998·Pediatric Clinics of North America·S B Pillai, G E Besner
Aug 28, 1998·The Journal of Urology·J S WienerD J Lamb
Jun 11, 2003·The Journal of Urology·Alfor G LewisCurtis A Sheldon
Jul 21, 2004·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Steven M PetakUNKNOWN American Association of Clinical Endocrinologists

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