Nieuwe richtlijn niet-scrotale testis [New guideline for undescended testis]
article
Undescended testis (UDT), congenital or acquired, is the most common genital anomaly seen in boys. It can be treated surgically by orchiopexy, but there is no agreement about the age at which the operation should be performed. Using available information, an expert group assessed the outcomes of orchiopexy at different ages, expressed in quality-adjusted life years (QALYs), and developed a decision tree algorithm. Surgical correction improves the quality of life of affected boys compared with no surgery. It also increases the likelihood of subsequent paternity in boys with bilateral UDT and improves the appearance of the genitals in boys with unilateral UDT. In the case of unilateral UDT, parents and patients can decide when surgery should be performed; however, surgery is preferably performed at 6–12 months of age in boys with congenital UDT, but can be delayed until puberty ian boys with acquired UDT. The expert group considered it unacceptable not to correct the defect and thus recommended surgery for unilateral UDT because the testicle can be saved and groin problems prevented with a relatively simple and cheap intervention.
TNO Identifier
488861
Source
Huisarts en Wetenschap, 57(2), pp. 84-87.
Pages
84-87
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