Nordic consensus on treatment of undescended testes
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...
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| Veröffentlicht in: | Acta Paediatrica 2007-05, Vol.96 (5), p.638-643 |
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| creator | Martin Ritzén, E. Bergh, A Bjerknes, R Christiansen, P Cortes, D Haugen, SE Jörgensen, N Kollin, C Lindahl, S Läckgren, G Main, KM Nordenskjöld, A Rajpert-De Meyts, E Söder, O Taskinen, S Thorsson, A Thorup, J Toppari, J Virtanen, H |
| description | 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. |
| doi_str_mv | 10.1111/j.1651-2227.2006.00159.x |
| format | Article |
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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.</description><identifier>ISSN: 0803-5253</identifier><identifier>ISSN: 1651-2227</identifier><identifier>EISSN: 1651-2227</identifier><identifier>DOI: 10.1111/j.1651-2227.2006.00159.x</identifier><identifier>PMID: 17326760</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Anesthesia ; Biological and medical sciences ; Child ; Cryptorchidism ; Cryptorchidism - drug therapy ; Cryptorchidism - embryology ; Cryptorchidism - surgery ; Cryptorchidism/drug therapy/embryology/surgery ; Decision Trees ; General aspects ; Gynecology. Andrology. Obstetrics ; human ; Humans ; Infant ; Male ; Male genital diseases ; Medical sciences ; MEDICIN ; MEDICINE ; Non tumoral diseases ; surgery ; treatment ; undescended testes</subject><ispartof>Acta Paediatrica, 2007-05, Vol.96 (5), p.638-643</ispartof><rights>2007 The Author(s)/Journal Compilation © 2007 Foundation Acta Pædiatrica/Acta Pædiatrica</rights><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6609-1e208730704a2db40fcf123b0a678b99865415caa69930b787a2666da1bf38953</citedby><cites>FETCH-LOGICAL-c6609-1e208730704a2db40fcf123b0a678b99865415caa69930b787a2666da1bf38953</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1651-2227.2006.00159.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1651-2227.2006.00159.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18695400$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17326760$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-7575$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-14818$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:1950729$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Martin Ritzén, E.</creatorcontrib><creatorcontrib>Bergh, A</creatorcontrib><creatorcontrib>Bjerknes, R</creatorcontrib><creatorcontrib>Christiansen, P</creatorcontrib><creatorcontrib>Cortes, D</creatorcontrib><creatorcontrib>Haugen, SE</creatorcontrib><creatorcontrib>Jörgensen, N</creatorcontrib><creatorcontrib>Kollin, C</creatorcontrib><creatorcontrib>Lindahl, S</creatorcontrib><creatorcontrib>Läckgren, G</creatorcontrib><creatorcontrib>Main, KM</creatorcontrib><creatorcontrib>Nordenskjöld, A</creatorcontrib><creatorcontrib>Rajpert-De Meyts, E</creatorcontrib><creatorcontrib>Söder, O</creatorcontrib><creatorcontrib>Taskinen, S</creatorcontrib><creatorcontrib>Thorsson, A</creatorcontrib><creatorcontrib>Thorup, J</creatorcontrib><creatorcontrib>Toppari, J</creatorcontrib><creatorcontrib>Virtanen, H</creatorcontrib><title>Nordic consensus on treatment of undescended testes</title><title>Acta Paediatrica</title><addtitle>Acta Paediatr</addtitle><description>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.</description><subject>Anesthesia</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Cryptorchidism</subject><subject>Cryptorchidism - drug therapy</subject><subject>Cryptorchidism - embryology</subject><subject>Cryptorchidism - surgery</subject><subject>Cryptorchidism/drug therapy/embryology/surgery</subject><subject>Decision Trees</subject><subject>General aspects</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>human</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Male genital diseases</subject><subject>Medical sciences</subject><subject>MEDICIN</subject><subject>MEDICINE</subject><subject>Non tumoral diseases</subject><subject>surgery</subject><subject>treatment</subject><subject>undescended testes</subject><issn>0803-5253</issn><issn>1651-2227</issn><issn>1651-2227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkV1v0zAUhi0EYl3hL6DcwA1KOLbjj0jcVIMNRNVNYoDUmyMncVC6fBS70bp_j7NG7dWkWZZ9ZD_n9fF5CYkoJDSMT5uESkFjxphKGIBMAKjIkv0LMjtevCQz0MBjwQQ_I-febwAYz1L5mpxRxZlUEmaEr3pX1kVU9J23nR981HfRzlmza223i_oqGrrS-sKGtYx21of5hryqTOPt22mfk1-XX28vvsXL66vvF4tlXEgJWUwtA604KEgNK_MUqqKijOdgpNJ5lmkpUioKY2SWcciVVoZJKUtD84rrTPA5iQ-6_t5uhxy3rm6Ne8De1Dgd3YXIolCUB405-fgk_6X-vcDe_cVhQJpqqp9JtwMqocZaPhzorev_DaEN2NahK01jOtsPHsMnmVYwyuoDWLjee2erozAFHM3DDY4e4egRjubho3m4D6nvpjeGvLXlKXFyKwDvJ8D4wjSVM11R-xOnZSZSGLnPB-6-buzDswvAxc0iBKe-18Ht_THduDuUiiuBf1ZX-HO1Xv7gN2tc8_8vxMN8</recordid><startdate>200705</startdate><enddate>200705</enddate><creator>Martin Ritzén, E.</creator><creator>Bergh, A</creator><creator>Bjerknes, R</creator><creator>Christiansen, P</creator><creator>Cortes, D</creator><creator>Haugen, SE</creator><creator>Jörgensen, N</creator><creator>Kollin, C</creator><creator>Lindahl, S</creator><creator>Läckgren, G</creator><creator>Main, KM</creator><creator>Nordenskjöld, A</creator><creator>Rajpert-De Meyts, E</creator><creator>Söder, O</creator><creator>Taskinen, S</creator><creator>Thorsson, A</creator><creator>Thorup, J</creator><creator>Toppari, J</creator><creator>Virtanen, H</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D93</scope><scope>DF2</scope></search><sort><creationdate>200705</creationdate><title>Nordic consensus on treatment of undescended testes</title><author>Martin Ritzén, E. ; Bergh, A ; Bjerknes, R ; Christiansen, P ; Cortes, D ; Haugen, SE ; Jörgensen, N ; Kollin, C ; Lindahl, S ; Läckgren, G ; Main, KM ; Nordenskjöld, A ; Rajpert-De Meyts, E ; Söder, O ; Taskinen, S ; Thorsson, A ; Thorup, J ; Toppari, J ; Virtanen, H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6609-1e208730704a2db40fcf123b0a678b99865415caa69930b787a2666da1bf38953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Anesthesia</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Cryptorchidism</topic><topic>Cryptorchidism - drug therapy</topic><topic>Cryptorchidism - embryology</topic><topic>Cryptorchidism - surgery</topic><topic>Cryptorchidism/drug therapy/embryology/surgery</topic><topic>Decision Trees</topic><topic>General aspects</topic><topic>Gynecology. 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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.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>17326760</pmid><doi>10.1111/j.1651-2227.2006.00159.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Alma/SFX Local Collection |
| subjects | Anesthesia Biological and medical sciences Child Cryptorchidism Cryptorchidism - drug therapy Cryptorchidism - embryology Cryptorchidism - surgery Cryptorchidism/drug therapy/embryology/surgery Decision Trees General aspects Gynecology. Andrology. Obstetrics human Humans Infant Male Male genital diseases Medical sciences MEDICIN MEDICINE Non tumoral diseases surgery treatment undescended testes |
| title | Nordic consensus on treatment of undescended testes |
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