Stubbe P
Monatsschr Kinderheilkd (1902). 1979 Jun;127(6):389-91.
The treatment of cryptorchidism should start at the age of two years because of pathological and anatomical studies. Ectopic testicles, inguinal hernias and postoperative situations associated with a wrong position of the testicle are primary indications for surgical corrections. Fixed inguinal, retractile or abdominal testicles may be primarily treated with human chorionic gonadotropin (HCG). The success rate after medical treatment averages 50%. The intranasal application of the releasing hormone of luteotropic hormone (LH-RH) may represent an alternative approach to the treatment of cryptorchidism. If treatment with LH-RH is to obtain the same success rate as HCG in larger series it may combine the advantage of painlessness with no androgenic side effects.
基于病理学和解剖学研究,隐睾症的治疗应在两岁时开始。异位睾丸、腹股沟疝以及与睾丸位置异常相关的术后情况是手术矫正的主要指征。固定于腹股沟的、可回缩的或位于腹腔内的睾丸可首先采用人绒毛膜促性腺激素(HCG)进行治疗。药物治疗后的成功率平均为50%。鼻内应用促黄体生成激素释放激素(LH-RH)可能是治疗隐睾症的另一种方法。如果在更大规模的研究中,LH-RH治疗能获得与HCG相同的成功率,那么它可能兼具无痛和无雄激素副作用的优点。