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KMID : 1218220090010010031
Korean Journal of Pediatric Urology
2009 Volume.1 No. 1 p.31 ~ p.36
Management of Cryptorchidism in Children: New Trend
Suh Hong-Jin

Abstract
Cryptorchidism is one of the most common genitourinary disorders in young boys. The best mode of treatment for undescended testes is controversial, and local traditions often override knowledge gained from randomized controlled studies. Judging from published meta-analyses, hormonal treatment has low efficacy. Orchiopexy, on the contrary, results in about 95% anatomical success, with a low (about 1%) risk of complications. The optimal time for orchiopexy has also been debated. However, a recent randomized controlled study shows that surgery at 9 months of age is followed by a better post-operative growth of the testes than surgery at 3 years, which supports previous arguments for early surgery. Cryptorchidism is best diagnosed clinically, and treated by surgical orchiopexy at age 6-12 months, without a routine biopsy. Laparoscopy is the best way of diagnosing and managing intra-abdominal testes. Referral should be to pediatric rather than general surgeons/urologists if the boy is less than 1 year old, if he has bilateral or non-palpable testes, or if he got relapse of cryptorchidism.
KEYWORD
Cryptorchidism, Management, Orchiopexy, Pediatrics
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