[Obscurity still exists with regard to the policy in undescended testes: early operation versus well-underpinned wait-and-see policy]
- PMID: 18333537
[Obscurity still exists with regard to the policy in undescended testes: early operation versus well-underpinned wait-and-see policy]
Abstract
The frequency of orchidopexy in the Netherlands is higher than the frequency of genuine undescended testes in spite of an existing consensus guideline on the subject. Evidence that orchidopexy has a positive effect on fertility or the decrease of testicular malignancy is lacking. Clinical trials are necessary to answer the question whether orchidopexy before the age of 2 years prevents malignancy or improves fertility. It is important that research that shows no results of early orchidopexy is also published. A public health approach is necessary to prevent unnecessary surgical interventions.
Comment in
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[The non-scrotal testes: current standpoints of the Paediatric Urology Workgroup of the Dutch Urological Association].Ned Tijdschr Geneeskd. 2008 Jul 19;152(29):1606-9. Ned Tijdschr Geneeskd. 2008. PMID: 18998266 Dutch.
Comment on
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[Undescended testis: current views and advice for treatment].Ned Tijdschr Geneeskd. 2008 Feb 2;152(5):246-52. Ned Tijdschr Geneeskd. 2008. PMID: 18333538 Review. Dutch.
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[The undescended testis: arguments in favour of early treatment, provided retractile testis and acquired non-scrotal testis have been excluded].Ned Tijdschr Geneeskd. 2008 Feb 2;152(5):253-8. Ned Tijdschr Geneeskd. 2008. PMID: 18333539 Dutch.