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    When should a child with an undescended testis be referred to a urologist?

    Kelsberg, Gary
    Bishop, Rachel
    Morton, Jacquelyn R.
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    [PDF] WhenUndescendedTestisReferred.pdf (97.43Kb)
    Date
    2006
    Format
    Article
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    Abstract
    Infants with an undescended testis should be referred between ages 6 and 15 months, since almost all who experience spontaneous descent do so by 6 months (strength of recommendation [SOR]: A, extrapolation from cohort studies). The incidence of germ cell aplasia in undescended testes begins to rise at 15 months (SOR: C, extrapolation of observational studies); however, evidence is inconclusive that orchiopexy at this age results in higher rates of paternity success (SOR: B, retrospective cohort study). Orchiopexy may allow earlier detection of testicular tumors (SOR: C, expert opinion), but it has not been shown to reduce the risk of testicular cancer (SOR: B, retrospective cohort study) or improve 5-year survival rates for those patients diagnosed with testicular cancer (SOR: B, retrospective cohort study).
    URI
    http://hdl.handle.net/10355/3587
    Part of
    Journal of family practice, 55, no. 04 (April 2006)
    Rights
    OpenAccess.
    This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.
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    • Clinical Inquiries, 2006

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