Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
1993-8-23
pubmed:abstractText
The patient with a cryptorchid testis is prone to infertility and testicular malignancy. Optimal treatment of cryptorchidism has been considered orchiopexy at the second year of life. In the past 10 years, we have treated 40 patients, 11-63 years old (mean 25), who presented with a cryptorchid testis at or after puberty. Orchiectomy was performed in all, and spermatogenesis was present in only 2 of the 40. Testicular diameter was greater than 3 cm in 32 of the 38 patients with an atrophic testis. Malignant tumors were found in 6 patients (15%) at operation. A seminoma was found in 5 patients operated on at ages 21, 23, 27, 47 and 63 years, and a nonseminomatous tumor in a 31-year-old. In 2 who underwent orchiopexy at ages 9 and 17 years, respectively, testicular tumors were found at ages 27 and 31 years. We conclude that a patient with a cryptorchid testis who presents at or after puberty should undergo orchiectomy as soon as possible. The prospect for such a testis to contribute to fertility is negligible, even if its diameter is normal, whereas the risk of developing malignancy is high.
pubmed:language
heb
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0017-7768
pubmed:author
pubmed:issnType
Print
pubmed:day
15
pubmed:volume
124
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
472-4, 527
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1993
pubmed:articleTitle
[Treatment for cryptorchidism: at or after puberty?].
pubmed:affiliation
Urology Dept., Hadassah Medical Center, Ein Karem, Jerusalem.
pubmed:publicationType
Journal Article, English Abstract