Management of cryptorchidism in children: guidelines

Détails

Ressource 1Télécharger: 18726735.pdf (138.98 [Ko])
Etat: Public
Version: Final published version
ID Serval
serval:BIB_1A59F17AD8AA
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Management of cryptorchidism in children: guidelines
Périodique
Swiss Medical Weekly
Auteur⸱e⸱s
Gapany C., Frey P., Cachat F., Gudinchet F., Jichlinski P., Meyrat B. J., Ramseyer P., Theintz G., Burnand B.
ISSN
1424-7860
Statut éditorial
Publié
Date de publication
08/2008
Peer-reviewed
Oui
Volume
138
Numéro
33-34
Pages
492-498
Langue
anglais
Résumé
QUESTION: To develop clinical guidelines for the management of cryptorchidism in pre-pubertal boys, from early diagnosis through therapy to long-term follow-up and prognosis. METHOD: Systematic review of articles from the medical literature, referenced since 1966, using validated search strategies through the following databases: Medline, Cochrane Database of Systematic Reviews, Cochrane Register of Controlled Trials, EMBASE, DARE, ACP Journal Club, National Guidelines Clearinghouse, Guidelines International Network. Relevant articles published after 1988 were taken as the basis for the statements. Each statement was graded on the basis of the study design and on its methodological quality (GRADE approach). A multidisciplinary panel of local experts discussed and evaluated each statement on the strength of this evidence. RESULTS: 28 statements based on the best available evidence were drafted. The experts agreed with all but two statements, which were rated uncertain. CONCLUSIONS: Cryptorchidism is best diagnosed clinically, and treated by surgical orchiopexy at age 6-12 months, without a routine biopsy. If no testis is palpable, or if other signs of hypovirilisation such as hypospadias are present, the chromosomal sex and hormonal status must be assessed. Laparoscopy is the best way of diagnosing and managing intra-abdominal testes.
Mots-clé
Child , Cryptorchidism , Laparoscopy , Laparoscopy/standards, Urologic Surgical Procedures, Male, Switzerland
Pubmed
Web of science
Création de la notice
16/09/2008 9:56
Dernière modification de la notice
20/08/2019 12:51
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