World J Mens Health.  2015 Dec;33(3):161-166. 10.5534/wjmh.2015.33.3.161.

Individualized Treatment Guidelines for Postpubertal Cryptorchidism

Affiliations
  • 1Department of Urology, Pusan National University School of Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea. lsd@pusan.ac.kr
  • 2Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea.

Abstract

Cryptorchidism is a well-known congenital anomaly in children. However, its diagnosis is often delayed for reasons including patient unawareness or denial of abnormal findings in the testis. Moreover, it has been difficult to establish an optimal treatment strategy for postpubertal cryptorchidism, given the small number of patients. Unlike cryptorchidism in children, postpubertal cryptorchidism is associated with an increased probability of neoplasms, which has led orchiectomy to be the recommended treatment. However, routine orchiectomy should be avoided in some cases due to quality-of-life issues and the potential risk of perioperative mortality. Based on a literature review, this study proposes individualized treatment guidelines for postpubertal cryptorchidism.

Keyword

Adolescent; Adult; Cryptorchidism

MeSH Terms

Adolescent
Adult
Child
Cryptorchidism*
Denial (Psychology)
Diagnosis
Humans
Male
Mortality
Orchiectomy
Testis

Figure

  • Fig. 1 Algorithm for the optimal individual treatment of postpubertal cryptorchidism.


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