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BILATERAL CRYPTORCHIDISM IN PEDIATRIC SURGEON'S PRACTICE: CURRENT TACTICS OF PATIENT MANAGEMENT
Olga Gorbatyuk1, Andrew Kovalenko1, Mikita Veselyi1
1SHUPYK NATIONAL HEALTHCARE UNIVERSITY OF UKRAINE, KYIV, UKRAINE.
Wiadomosci Lekarskie (Warsaw, Poland : 1960)
|April 14, 2023
Summary
Early detection and comprehensive management, including hormone therapy and surgical correction, are crucial for improving treatment outcomes in children with bilateral cryptorchidism. Prompt medical consultation is vital for timely intervention.
Area of Science:
- Pediatric Surgery
- Endocrinology
- Genetics
Background:
- Bilateral cryptorchidism in children is often linked to primary endocrine disorders.
- Early identification and intervention are critical for optimal treatment outcomes.
Purpose of the Study:
- To establish best practices for managing bilateral cryptorchidism in pediatric patients.
- To improve treatment outcomes through a comprehensive management approach.
Main Methods:
- Retrospective analysis of 117 children (6 months to 13 years) with bilateral cryptorchidism over a ten-year period.
- Inclusion of clinical, laboratory, instrumental, endocrinological, and genetic assessments.
- Evaluation of treatment strategies including observation, hormone therapy, and surgical correction.
Main Results:
- Hormone therapy positively influenced testicular descent in 78.76% of patients.
- Comprehensive treatment (hormone therapy + surgery) yielded good postoperative results in 71.64% of cases.
- Late medical consultation (after 1 year) was observed in 76.92% of patients.
Conclusions:
- Early diagnosis and referral to surgeons or endocrinologists are essential for all children with bilateral cryptorchidism.
- Endocrinological and genetic evaluations are necessary for accurate diagnosis and treatment planning.
- Comprehensive management, combining hormone therapy with surgical correction when indicated, leads to superior outcomes in bilateral cryptorchidism.
