Aprile 2010 - Volume XXIX - numero 4

Medico e Bambino


Ricerca

La gestione del bambino con testicolo ritenuto

Federico Marchetti1, Luca Ronfani1, Jenny Bua1, Gianluca Tornese1, Gianni Piras2, Giacomo Toffol2

1Clinica Pediatrica, Servizio di Epidemiologia e Biostatistica, Dipartimento di Chirurgia, IRCCS “Burlo Garofolo”, Trieste
2Associazione Culturale Pediatri
a nome del Gruppo di Studio italiano sul testicolo ritenuto

Indirizzo per corrispondenza: marchetti@burlo.trieste.it

MANAGEMENT OF UNDESCENDED TESTIS: A SURVEY OF CLINICAL PRACTICE IN ITALY

Key words: Cryptorchidism, Guidelines, Hormonal treatment, Orchiopexy, Current management

Background: The aims of our study were to describe the current management of cryptorchidism among Italian family paediatricians (FP) and detect any difference from the recently published Nordic Consensus guidelines. Methods: An online questionnaire was filled in by 140 Italian FP from 18/20 Italian regions. The questionnaire requested information on all children with cryptorchidism born between 1/01/2004 and 1/01/2006, their characteristics and management. Results: Data on 169 children with undescended testis were obtained. Among those, 24% had at diagnosis a retractile testis, while 76% had a true cryptorchidism. Mean age at diagnosis was 9.6 months (SD 13.2; range 0-52.8). In 16% of cases cryptorchydism resolved spontaneously at a mean age of 25.2 months (SD 12; range 6-46.8). On the overall cases, 99 subjects (59%) underwent orchiopexy at mean age of 22.8 months (SD 10.8; range 1.2-56.4), 13% of which before 1 year of age. The intervention was performed by a paediatric surgeon in 89% of cases, with a success rate of 91%. Orchiopexy was the first line treatment in 82/99 cases (83%), while preceded by hormonal treatment in the other 17 cases. Hormonal treatment was used as first line in 20% of cases with a reported success rate of 25% (n=8/32). Overall, 18 children did not undergo any intervention (mean age at last follow up 44.4 months; SD 12; range 20.4-62.4). Conclusions: Our study showed an important delay in orchiopexy. Moreover, a high percentage of children with undescended testis was treated with hormonal therapy, although it is not recommended by the recent guidelines.

Vuoi citare questo contributo?

F. Marchetti, L. Ronfani, J. Bua, G. Tornese, G. Piras, G. Toffol
a nome del Gruppo di Studio italiano sul testicolo ritenuto La gestione del bambino con testicolo ritenuto. Medico e Bambino 2010;29(4):250 https://www.medicoebambino.com/?id=1004_250.pdf


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