David Geffen School of Medicine at UCLA, Los Angeles, CA, USA; Department of Urology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Adv Pediatr. 2024 Aug;71(1):169-179. doi: 10.1016/j.yapd.2023.12.001. Epub 2024 Jan 6.
Undescended testis is the most common genital disorder identified at birth. Boys who do not have spontaneous descent of the testis at 6 months of age, adjusted for gestational age, should be referred to pediatric urology for timely orchiopexy. Retractile testes are at risk for secondary ascent of the testes and should be monitored by physical examination annually. If there is concern for ascent of the testis, pediatric urology referral is recommended. Most cases of phimosis can be managed medically with topical corticosteroids and manual retraction of the foreskin.
隐睾是出生时最常见的生殖器畸形。对于调整胎龄后 6 个月仍未自发下降的睾丸，应及时转至小儿泌尿外科行睾丸固定术。可退缩睾丸存在睾丸二次上移的风险，应每年通过体格检查进行监测。如果担心睾丸上移，建议转至小儿泌尿外科就诊。大多数包茎可以通过局部皮质类固醇和包皮手动复位来进行药物治疗。
