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Obscurity still exists with regard to the policy in undescended testes: early operation versus well-underpinned wait-and-see policy
Ist Teil von
Nederlands tijdschrift voor geneeskunde, 2008-02, Vol.152 (5), p.243
Ort / Verlag
Netherlands
Erscheinungsjahr
2008
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
The frequency of orchidopexy in the Netherlands is higher than the frequency of genuine undescended testes in spite of an existing consensus guideline on the subject. Evidence that orchidopexy has a positive effect on fertility or the decrease of testicular malignancy is lacking. Clinical trials are necessary to answer the question whether orchidopexy before the age of 2 years prevents malignancy or improves fertility. It is important that research that shows no results of early orchidopexy is also published. A public health approach is necessary to prevent unnecessary surgical interventions.