Hazebroek F W, de Muinck Keizer-Schrama S M
Academisch Ziekenhuis Rotterdam, Sophia Kinderziekenhuis.
Tijdschr Kindergeneeskd. 1987 Aug;55(4):161-6.
In this article the classification of the nonscrotal testis is elucidated with a description of all forms of incomplete testicular descent. A great deal of attention is paid to the process of reaching the proper diagnosis, outlining the procedure for physical examination. The risk of infertility, the rather rare occurrence of testicular tumor, and a disturbance of the psychosexual development, are reasons why the undescended testis should be treated. How the undescended testis should be treated, hormonal or surgical, depends entirely on the position of the testis. LHRH nasal spray may induce descent in testes that have emerged from the inguinal canal and can be manipulated to at least the scrotal entrance. Surgical treatment is indicated for all undescended testes that have not emerged from the inguinal canal as well as all ectopic testes, and for those testes that failed to descend with hormonal therapy. The treatment protocol for all types of nonscrotal testes is discussed and schematically presented.
本文阐述了非阴囊睾丸的分类，并描述了各种不完全睾丸下降的形式。文中高度重视做出正确诊断的过程，概述了体格检查的程序。不育风险、睾丸肿瘤的罕见发生以及性心理发育障碍，是应对隐睾进行治疗的原因。隐睾应采用激素治疗还是手术治疗，完全取决于睾丸的位置。促性腺激素释放激素（LHRH）鼻喷雾剂可能会促使已从腹股沟管出来且至少可被推至阴囊入口处的睾丸下降。对于所有未从腹股沟管出来的隐睾、所有异位睾丸以及那些激素治疗后未能下降的睾丸，均需进行手术治疗。文中讨论并以示意图形式展示了所有类型非阴囊睾丸的治疗方案。
