Chung Jae Min, Lee Sang Don
Department of Urology, Pusan National University School of Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea.; Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea.
World J Mens Health. 2015 Dec;33(3):161-6. doi: 10.5534/wjmh.2015.33.3.161. Epub 2015 Dec 23.
Cryptorchidism is a well-known congenital anomaly in children. However, its diagnosis is often delayed for reasons including patient unawareness or denial of abnormal findings in the testis. Moreover, it has been difficult to establish an optimal treatment strategy for postpubertal cryptorchidism, given the small number of patients. Unlike cryptorchidism in children, postpubertal cryptorchidism is associated with an increased probability of neoplasms, which has led orchiectomy to be the recommended treatment. However, routine orchiectomy should be avoided in some cases due to quality-of-life issues and the potential risk of perioperative mortality. Based on a literature review, this study proposes individualized treatment guidelines for postpubertal cryptorchidism.
隐睾症是儿童中一种众所周知的先天性异常。然而，其诊断往往会延迟，原因包括患者未意识到或否认睾丸存在异常发现。此外，鉴于患者数量较少，很难为青春期后隐睾症制定最佳治疗策略。与儿童隐睾症不同，青春期后隐睾症与肿瘤发生概率增加相关，这使得睾丸切除术成为推荐的治疗方法。然而，由于生活质量问题和围手术期死亡的潜在风险，在某些情况下应避免常规睾丸切除术。基于文献综述，本研究提出了青春期后隐睾症的个体化治疗指南。
