genitais tem sido uma das causas mais freqüentes de atraso no diagnóstico. e em 4% dos casos o testículo está realmente ausente (anorquismo bilateral. Los niños con criptorquidia bilateral . Otras causas de dolor En muchos casos, no es fácil determinar la causa del escroto agudo a tenor exclusivamente de. Criptorquidia: desde la embriología al tratamiento sobre sus causas y su fisiopatología aún siguen criptorquidia es uni o bilateral, si es aislada o forma.

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Criptorquidia: desde la embriología al tratamiento

The presence of additional genital abnormalities, such as hypospadia or micropenis, increases the criptkrquidia of the diagnosis of an intersex condition. Detailed description of the testicular anatomic position is essential to adequate diagnosis, treatment and prognostic evaluation. The diagnosis of cryptorchidism is made by clinical examination.


The complementary exams, such as image analysis, add limited information on the diagnosis. Gonadotropins and testicular hormones measurement can be useful if the hypothalamic-pituitary-gonadal axis is activated, as observed during the first 6 bilatefal of life or during puberty. Clinical treatment is indicated in patients with retained bilatetal or in severely retractile testis.

Clinical treatment cannot be used in cases of confirmed inguinal hernia, varicocele or spermatic cord cysts. Surgical correction is indicated after failure of clinical treatment or for ectopic testes.

The long-term prognosis of cryptorchidism seems casuas be related to the precocity of the therapy. Therefore, recognition and treatment of cryptorchid testes should be done during the first 2 years of life, potentially improving the risks of infertility and gonadal neoplasia.

Cryptorchidism; Human chorionic gonadotropin; Testis; Treatment. Isto permite a um mesmo observador realizar o acompanhamento evolutivo de cada caso.

Pode provocar certo grau de rinite. Clin Pediatr Urol ;2: Congenital anomalies of the testis. Gill B, Kogan S. J Pediatr Surg ; J Pediatr Rio ; Endocrinologia para o Pediatra.


Cryptorchidism: diagnosis and treatment

Serum inhibin levels before and after gonadotropin stimulation in cryptorchid boys under age 4 years. J Pediatr Endocrinol Metab ; All the contents of this journal, bipateral where otherwise noted, is licensed under a Creative Commons Attribution License. Services on Demand Journal. How to cite this article.