Tang Weiyan, Wei Yi
Chongqing Medical University, No. 61, University Town Road, Shapingba District, Chongqing, 401331, China.
Department of Urology Children's Hospital, Chongqing Medical University, Room 806, Kejiao Building (NO.6), No.136, Zhongshan 2nd Road, Yuzhong District, Chongqing, 400014, China.
Pediatr Surg Int. 2025 Sep 10;41(1):291. doi: 10.1007/s00383-025-06187-4.
Cryptorchidism is one of the most common reproductive malformations in children, and the timing of surgery significantly impacts fertility and the risk of testicular cancer. Although international guidelines currently recommend testicular fixation within 6-18 months to improve prognosis, many children worldwide undergo surgery later than the recommended age. Delays in surgery are particularly significant in developing countries. This discrepancy may be influenced by factors such as ethnicity, comorbid malformations, economic status, and disease staging. This article provides an overview of global cryptorchidism guideline development and clinical realities, exploring the reasons behind surgical timing disparities to inform the revision of guidelines and improve treatment strategies and prognosis for children with cryptorchidism.
隐睾症是儿童中最常见的生殖系统畸形之一，手术时机对生育能力和睾丸癌风险有显著影响。尽管国际指南目前建议在6至18个月内进行睾丸固定术以改善预后，但全球许多儿童接受手术的时间晚于推荐年龄。在发展中国家，手术延迟尤为显著。这种差异可能受到种族、合并畸形、经济状况和疾病分期等因素的影响。本文概述了全球隐睾症指南的制定情况和临床实际情况，探讨手术时机差异背后的原因，为指南修订提供参考，以改善隐睾症患儿的治疗策略和预后。
