Related Experiment Video
Updated: Jun 13, 2025
03:10
Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst
Published on: March 31, 2023
7.9K
Management of undescended testis
Seth Saylors1, Tolulope A Oyetunji1,2
1Department of Surgery, Children's Mercy Kansas City.
Current Opinion in Pediatrics
|September 10, 2024
Summary
Prompt diagnosis and timely surgical intervention are crucial for optimal outcomes in undescended testis (cryptorchidism). Avoiding unnecessary imaging and delays in referral improves care for pediatric patients.
Area of Science:
- Pediatric Surgery
- Urology
- Endocrinology
Background:
- Undescended testis (cryptorchidism) is a common pediatric diagnosis requiring timely surgical collaboration.
- Current research highlights evolving management options and common care pitfalls.
Purpose of the Study:
- To review current recommendations and emerging management options for undescended testis.
- To emphasize the importance of timely diagnosis and surgical intervention.
- To identify factors contributing to delayed referrals and suboptimal care.
Main Methods:
- Literature review of current practices in undescended testis management.
- Analysis of diagnostic and surgical techniques, including laparoscopic orchiopexy.
- Evaluation of hormonal therapy effectiveness.
Main Results:
- Delays in surgical referral, often due to unnecessary imaging, are significant issues.
- Laparoscopic staged traction orchiopexy (Shehata technique) is a notable emerging surgical option.
- Hormonal therapy has demonstrated ineffectiveness for undescended testis.
Conclusions:
- Prompt evaluation and surgical intervention are critical for optimizing patient outcomes.
- Improving referral timeliness and reducing unnecessary imaging are key areas for practice improvement.
- Enhanced provider understanding of surgical options and risks/benefits improves patient education and care.
Related Concept Videos
01:19Testes: Gross Anatomy
1.8K
The testes, also known as testicles, are the male gonads. They are housed within the scrotum, a sac-like structure located beneath the penis. The scrotum's primary role is to regulate the temperature of the testes, which is crucial for sperm production.
Each testis is surrounded by the tunica albuginea, a dense connective tissue layer that provides structural support and protection. This layer is covered by an outer serous membrane called the tunica vaginalis, which helps reduce friction...
Each testis is surrounded by the tunica albuginea, a dense connective tissue layer that provides structural support and protection. This layer is covered by an outer serous membrane called the tunica vaginalis, which helps reduce friction...
1.8K
01:27Testes: Histology
758
A tough, fibrous membrane, the tunica albuginea, covers the testes, extending inward to form fibrous partitions or septa, dividing them into internal compartments called lobules. Each lobule has 1 to 3 tightly coiled seminiferous tubules where sperm production occurs. These tubules merge into a tubular network at the back of the testis, known as the rete testis. It connects to 15 to 20 efferent ductules, leading to the epididymis.
The spermatogenic cells, responsible for producing sperm, are...
The spermatogenic cells, responsible for producing sperm, are...
758
01:23Infertility in Males
255
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
255
01:20Disorders of the Male Reproductive System
358
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
358
01:15Development of the Sexual Organs in the Embryo and Fetus
599
Development of the reproductive organs in an embryo starts from a bipotential state. This means the early embryo can develop either male or female reproductive organs. The formation of these organs begins with the growth of gonadal ridges that arise from the intermediate mesoderm during the fifth week of development.
Near the gonadal ridges, two duct systems are present: the mesonephric ducts (Wolffian ducts) and paramesonephric ducts (Müllerian ducts). These ducts form the basis for the...
Near the gonadal ridges, two duct systems are present: the mesonephric ducts (Wolffian ducts) and paramesonephric ducts (Müllerian ducts). These ducts form the basis for the...
599
01:16Accessory Glands of the Male Reproductive System
1.5K
The accessory ducts involved in sperm maturation and transportation include the epididymides, vasa deferentia, ejaculatory ducts, and urethra. These ducts play a critical role in the maturation, storage, and transportation of sperm from the testes to the urethra, where it is then released during ejaculation.
The epididymis is a small, comma-shaped organ located at the back of each testicle. The epididymis can be divided into three main parts: the head, body, and tail. The head of the epididymis...
The epididymis is a small, comma-shaped organ located at the back of each testicle. The epididymis can be divided into three main parts: the head, body, and tail. The head of the epididymis...
1.5K