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Updated: Jul 6, 2026
03:10
Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst
Published on: March 31, 2023
[Undescended testis: current views and advice for treatment]
W W M Hack1, K Sijstermans, L M van der Voort-Doedens
1Medisch Centrum Alkmaar, Alkmaar, Afd. Kindergeneeskunde. w.hack@mca.nl
Nederlands Tijdschrift Voor Geneeskunde
|March 13, 2008
Summary
Undescended testis (UDT) is a common condition in boys. Current guidelines for acquired UDT may lead to delayed surgeries, necessitating a review of treatment protocols.
Area of Science:
- Pediatric Urology
- Andrology
Context:
- Undescended testis (UDT) represents a frequent congenital urogenital anomaly in male infants.
- UDT is characterized by the inability to position the testis stably within the scrotum.
- Two primary forms are recognized: congenital UDT (never descended) and acquired UDT (previously descended).
Purpose:
- To differentiate between congenital and acquired undescended testis.
- To establish optimal treatment timelines for congenital UDT.
- To address the ongoing debate and propose rational management for acquired UDT.
Summary:
- Congenital UDT requires surgical correction between 6 to 12 months of age.
- The management of acquired UDT remains controversial, with spontaneous descent at puberty suggested as a viable approach.
- High rates of late orchidopexies in the Netherlands are linked to acquired UDT, indicating a need for guideline revision.
Impact:
- Revising treatment guidelines for acquired UDT can potentially reduce the incidence of late orchidopexies.
- Optimizing management strategies for UDT may improve long-term testicular health and fertility outcomes.
- Updating 'non-scrotal testis' guidelines is crucial for standardizing care and improving patient outcomes.
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