Fonkalsrud E W
Department of Pediatric Surgery, UCLA School of Medicine 90024, USA.
Semin Pediatr Surg. 1996 Feb;5(1):2-7.
True undescended testes are unilateral in approximately 80% of cases, are rarely corrected by human chorionic gonadotropin (hCG), and should be treated by orchiopexy before the patient reaches the age of 3 years to permit optimal tubular development and sperm function. A cryptorchid testis does not mature normally after the age of 2 years and may produce adverse effects on the contralateral descended testis. The higher a cryptorchid testis resides above the scrotum, the more dysgenetic the morphology is likely to be. Hypoplastic cryptorchid testes should be removed early, and high-positioned testes that have not been surgically placed into the scrotum before midadolescence generally should be removed.
真正的隐睾症在大约80%的病例中是单侧的,很少能通过人绒毛膜促性腺激素(hCG)得到纠正,并且应在患者3岁之前通过睾丸固定术进行治疗,以确保最佳的小管发育和精子功能。隐睾在2岁之后通常无法正常成熟,可能会对侧下降至阴囊的睾丸产生不利影响。隐睾在阴囊上方的位置越高,其形态发育不全的可能性就越大。发育不全的隐睾应尽早切除,在青春期中期之前尚未通过手术置于阴囊内的高位睾丸通常也应切除。