Modern management of cryptorchidism: which evidences?

摘要: The term cryptorchidism is related to the failure of migration testis scrotum. In most cases, are retained along physiological route through inguinal canal. 1% cases gubernaculum abnormally fixed (testicular ectopy).In 20% one not clinically palpable. US has a sensitivity 45% and specificity 78% in detecting intra-abdominal testis. Consequently, laparoscopy should be considered gold-standard these cases.Hormonal therapy been order aid testicular descent, without or before surgery. Recent data suggest that strategies seem have success rate 10% higher than placebo, while surgery alone effective 33-100% cases.Several histological studies showed microscopic damages due since age 6-9 months. Some Authors up 40% completely lose their own germinal cells pool at two years. Consequently guide-lines proposed 6-18 months.Cancer relative risk associated calculated 1.5-7.5% general population lower what traditionally estimated (15-33%). Moreover, this increases 2.9-32.0 times when performed after 10-11