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[Treatment for cryptorchidism: at or after puberty?]
Harefuah
|April 15, 1993
Summary
Undescended testes (cryptorchidism) in adults have a low chance of fertility and a high risk of cancer. Early orchiectomy (testicle removal) is recommended for adult cryptorchidism to manage malignancy risk.
Area of Science:
- Urology
- Andrology
- Oncology
Context:
- Cryptorchidism, or undescended testes, is a condition often treated in childhood.
- Adult presentation of cryptorchidism is less common and associated with specific risks.
Purpose:
- To evaluate the outcomes of treating adult patients with cryptorchidism.
- To assess the fertility potential and malignancy risk in adult undescended testes.
Summary:
- This study analyzed 40 adult patients (age 11-63) with cryptorchidism, all undergoing orchiectomy.
- Spermatogenesis was found in only 2 patients; 15% (6/40) had testicular tumors (5 seminomas, 1 nonseminoma).
- Adult cryptorchid testes have negligible fertility potential and a significant risk of malignancy, even with normal size.
Impact:
- Recommends prompt orchiectomy for adult cryptorchidism due to high cancer risk and low fertility.
- Highlights the importance of considering malignancy in adult undescended testes, regardless of size.
- Informs clinical management strategies for late-presenting cryptorchidism.
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