Print Email Facebook Twitter Niet-scrotale testes; beleid voor de eerste lijn [First-line management of non-scrotal testes] Title Niet-scrotale testes; beleid voor de eerste lijn [First-line management of non-scrotal testes] Author Aendekerk, R.P.P. van Leerdam, F.J.M. Hirasing, R.A. Publication year 2002 Abstract For non-scrotal testes a distinction can be made between retractile testes (completely descended and normally developed but sometimes situated subcutaneously in the groin area), retained testes (testes cannot be brought into the scrotum or this can only be achieved using light manual pressure) and ectopic testes (lying outside of the descent trajectory). - It is estimated that 0.7-0.8% of all boys have as yet undescended testes. - The first few days after the birth are the most suitable for testing and registration, as then the cremaster reflex is absent. Registration should take place in both the youth healthcare file and in the 'growth book' for the parents. - Retractile testes do not require treatment. There is no consensus concerning the treatment of (possible) acquired nonscrotal testes. For undescended testes the management depends on previous testes localisations. For ectopic testes and testes that have never been scrotal, a referral for surgical treatment should be made prior to the second birthday. - Orchidopexy (a better description is orchidofuniculolysis followed by orchidopexy) is only justified in the case of testes which have never descended. - In the case of a clear indication, the general practitioner should make a prompt referral (before the second birthday) and in other cases assurance should be provided and an expectant policy adopted until puberty. Subject HealthCremaster muscleEctopic testisGeneral practitionerOrchidopexyPatient referralReviewScrotumSurgical techniqueTreatment indicationCryptorchidismHumansInfantInfant, NewbornMaleOrchiectomyPubertySexual MaturationTreatment Outcome To reference this document use: http://resolver.tudelft.nl/uuid:64f07283-a47a-428b-8dd2-0760da53395f TNO identifier 236497 ISSN 0028-2162 Source Nederlands Tijdschrift voor Geneeskunde, 146 (12), 557-561 Document type article Files To receive the publication files, please send an e-mail request to TNO Library.