Management of the undescended testis in children: An American Pediatric Surgical Association Outcomes and Evidence Based Practice Committee Systematic Review
Purpose: Management of undescended testes (UDT) has evolved over the last decade. While urologic societies in the United States and Europe have established some guidelines for care, management by North American pediatric surgeons remains variable. The aim of this systematic review is to evaluate the...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Gates, Robert L [verfasserIn] Shelton, Julia [verfasserIn] Diefenbach, Karen A [verfasserIn] Arnold, Meghan [verfasserIn] St. Peter, Shawn D. [verfasserIn] Renaud, Elizabeth J. [verfasserIn] Slidell, Mark B. [verfasserIn] Sømme, Stig [verfasserIn] Valusek, Patricia [verfasserIn] Villalona, Gustavo A. [verfasserIn] McAteer, Jarod P. [verfasserIn] Beres, Alana L. [verfasserIn] Baerg, Joanne [verfasserIn] Rentea, Rebecca M. [verfasserIn] Kelley-Quon, Lorraine [verfasserIn] Kawaguchi, Akemi L. [verfasserIn] Hu, Yue-Yung [verfasserIn] Miniati, Doug [verfasserIn] Ricca, Robert [verfasserIn] Baird, Robert [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2022 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Journal of pediatric surgery - Orlando, Fla. : Elsevier, 1966, 57, Seite 1293-1308 |
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| Übergeordnetes Werk: |
volume:57 ; pages:1293-1308 |
| DOI / URN: |
10.1016/j.jpedsurg.2022.01.003 |
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| Katalog-ID: |
ELV00804144X |
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| 520 | |a Purpose: Management of undescended testes (UDT) has evolved over the last decade. While urologic societies in the United States and Europe have established some guidelines for care, management by North American pediatric surgeons remains variable. The aim of this systematic review is to evaluate the published evidence regarding the treatment of (UDT) in children.Methods: A comprehensive search strategy and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were utilized to identify, review, and report salient articles. Five principal questions were asked regarding imaging standards, medical treatment, surgical technique, timing of operation, and outcomes. A literature search was performed from 2005 to 2020.Results: A total of 825 articles were identified in the initial search, and 260 were included in the final review.Conclusions: Pre-operative imaging and hormonal therapy are generally not recommended except in specific circumstances. Testicular growth and potential for fertility improves when orchiopexy is performed before one year of age. For a palpable testis, a single incision approach is preferred over a two-incision orchiopexy. Laparoscopic orchiopexy is associated with a slightly lower testicular atrophy rate but a higher rate of long-term testicular retraction. One and two-stage Fowler-Stephens orchiopexy have similar rates of testicular atrophy and retraction. There is a higher relative risk of testicular cancer in UDT which may be lessened by pre-pubertal orchiopexy. | ||
| 650 | 4 | |a Undescended testis/testes | |
| 650 | 4 | |a Cryptorchidism | |
| 650 | 4 | |a Orchiopexy | |
| 650 | 4 | |a Testicular cancer | |
| 700 | 1 | |a Shelton, Julia |e verfasserin |0 (orcid)0000-0003-4038-9412 |4 aut | |
| 700 | 1 | |a Diefenbach, Karen A |e verfasserin |4 aut | |
| 700 | 1 | |a Arnold, Meghan |e verfasserin |4 aut | |
| 700 | 1 | |a St. Peter, Shawn D. |e verfasserin |0 (orcid)0000-0002-6140-9016 |4 aut | |
| 700 | 1 | |a Renaud, Elizabeth J. |e verfasserin |4 aut | |
| 700 | 1 | |a Slidell, Mark B. |e verfasserin |0 (orcid)0000-0002-9551-5888 |4 aut | |
| 700 | 1 | |a Sømme, Stig |e verfasserin |4 aut | |
| 700 | 1 | |a Valusek, Patricia |e verfasserin |0 (orcid)0000-0003-3295-117X |4 aut | |
| 700 | 1 | |a Villalona, Gustavo A. |e verfasserin |0 (orcid)0000-0002-9338-5258 |4 aut | |
| 700 | 1 | |a McAteer, Jarod P. |e verfasserin |4 aut | |
| 700 | 1 | |a Beres, Alana L. |e verfasserin |0 (orcid)0000-0002-5858-1026 |4 aut | |
| 700 | 1 | |a Baerg, Joanne |e verfasserin |0 (orcid)0000-0002-0388-8485 |4 aut | |
| 700 | 1 | |a Rentea, Rebecca M. |e verfasserin |0 (orcid)0000-0002-8689-5989 |4 aut | |
| 700 | 1 | |a Kelley-Quon, Lorraine |e verfasserin |4 aut | |
| 700 | 1 | |a Kawaguchi, Akemi L. |e verfasserin |4 aut | |
| 700 | 1 | |a Hu, Yue-Yung |e verfasserin |0 (orcid)0000-0001-8657-5873 |4 aut | |
| 700 | 1 | |a Miniati, Doug |e verfasserin |4 aut | |
| 700 | 1 | |a Ricca, Robert |e verfasserin |0 (orcid)0000-0001-8679-5438 |4 aut | |
| 700 | 1 | |a Baird, Robert |e verfasserin |4 aut | |
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10.1016/j.jpedsurg.2022.01.003 doi (DE-627)ELV00804144X (ELSEVIER)S0022-3468(22)00041-0 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Gates, Robert L verfasserin aut Management of the undescended testis in children: An American Pediatric Surgical Association Outcomes and Evidence Based Practice Committee Systematic Review 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: Management of undescended testes (UDT) has evolved over the last decade. While urologic societies in the United States and Europe have established some guidelines for care, management by North American pediatric surgeons remains variable. The aim of this systematic review is to evaluate the published evidence regarding the treatment of (UDT) in children.Methods: A comprehensive search strategy and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were utilized to identify, review, and report salient articles. Five principal questions were asked regarding imaging standards, medical treatment, surgical technique, timing of operation, and outcomes. A literature search was performed from 2005 to 2020.Results: A total of 825 articles were identified in the initial search, and 260 were included in the final review.Conclusions: Pre-operative imaging and hormonal therapy are generally not recommended except in specific circumstances. Testicular growth and potential for fertility improves when orchiopexy is performed before one year of age. For a palpable testis, a single incision approach is preferred over a two-incision orchiopexy. Laparoscopic orchiopexy is associated with a slightly lower testicular atrophy rate but a higher rate of long-term testicular retraction. One and two-stage Fowler-Stephens orchiopexy have similar rates of testicular atrophy and retraction. There is a higher relative risk of testicular cancer in UDT which may be lessened by pre-pubertal orchiopexy. Undescended testis/testes Cryptorchidism Orchiopexy Testicular cancer Shelton, Julia verfasserin (orcid)0000-0003-4038-9412 aut Diefenbach, Karen A verfasserin aut Arnold, Meghan verfasserin aut St. Peter, Shawn D. verfasserin (orcid)0000-0002-6140-9016 aut Renaud, Elizabeth J. verfasserin aut Slidell, Mark B. verfasserin (orcid)0000-0002-9551-5888 aut Sømme, Stig verfasserin aut Valusek, Patricia verfasserin (orcid)0000-0003-3295-117X aut Villalona, Gustavo A. verfasserin (orcid)0000-0002-9338-5258 aut McAteer, Jarod P. verfasserin aut Beres, Alana L. verfasserin (orcid)0000-0002-5858-1026 aut Baerg, Joanne verfasserin (orcid)0000-0002-0388-8485 aut Rentea, Rebecca M. verfasserin (orcid)0000-0002-8689-5989 aut Kelley-Quon, Lorraine verfasserin aut Kawaguchi, Akemi L. verfasserin aut Hu, Yue-Yung verfasserin (orcid)0000-0001-8657-5873 aut Miniati, Doug verfasserin aut Ricca, Robert verfasserin (orcid)0000-0001-8679-5438 aut Baird, Robert verfasserin aut Enthalten in Journal of pediatric surgery Orlando, Fla. : Elsevier, 1966 57, Seite 1293-1308 Online-Ressource (DE-627)325699542 (DE-600)2039299-0 (DE-576)094422338 1531-5037 nnns volume:57 pages:1293-1308 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie AR 57 1293-1308 |
| spelling |
10.1016/j.jpedsurg.2022.01.003 doi (DE-627)ELV00804144X (ELSEVIER)S0022-3468(22)00041-0 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Gates, Robert L verfasserin aut Management of the undescended testis in children: An American Pediatric Surgical Association Outcomes and Evidence Based Practice Committee Systematic Review 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: Management of undescended testes (UDT) has evolved over the last decade. While urologic societies in the United States and Europe have established some guidelines for care, management by North American pediatric surgeons remains variable. The aim of this systematic review is to evaluate the published evidence regarding the treatment of (UDT) in children.Methods: A comprehensive search strategy and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were utilized to identify, review, and report salient articles. Five principal questions were asked regarding imaging standards, medical treatment, surgical technique, timing of operation, and outcomes. A literature search was performed from 2005 to 2020.Results: A total of 825 articles were identified in the initial search, and 260 were included in the final review.Conclusions: Pre-operative imaging and hormonal therapy are generally not recommended except in specific circumstances. Testicular growth and potential for fertility improves when orchiopexy is performed before one year of age. For a palpable testis, a single incision approach is preferred over a two-incision orchiopexy. Laparoscopic orchiopexy is associated with a slightly lower testicular atrophy rate but a higher rate of long-term testicular retraction. One and two-stage Fowler-Stephens orchiopexy have similar rates of testicular atrophy and retraction. There is a higher relative risk of testicular cancer in UDT which may be lessened by pre-pubertal orchiopexy. Undescended testis/testes Cryptorchidism Orchiopexy Testicular cancer Shelton, Julia verfasserin (orcid)0000-0003-4038-9412 aut Diefenbach, Karen A verfasserin aut Arnold, Meghan verfasserin aut St. Peter, Shawn D. verfasserin (orcid)0000-0002-6140-9016 aut Renaud, Elizabeth J. verfasserin aut Slidell, Mark B. verfasserin (orcid)0000-0002-9551-5888 aut Sømme, Stig verfasserin aut Valusek, Patricia verfasserin (orcid)0000-0003-3295-117X aut Villalona, Gustavo A. verfasserin (orcid)0000-0002-9338-5258 aut McAteer, Jarod P. verfasserin aut Beres, Alana L. verfasserin (orcid)0000-0002-5858-1026 aut Baerg, Joanne verfasserin (orcid)0000-0002-0388-8485 aut Rentea, Rebecca M. verfasserin (orcid)0000-0002-8689-5989 aut Kelley-Quon, Lorraine verfasserin aut Kawaguchi, Akemi L. verfasserin aut Hu, Yue-Yung verfasserin (orcid)0000-0001-8657-5873 aut Miniati, Doug verfasserin aut Ricca, Robert verfasserin (orcid)0000-0001-8679-5438 aut Baird, Robert verfasserin aut Enthalten in Journal of pediatric surgery Orlando, Fla. : Elsevier, 1966 57, Seite 1293-1308 Online-Ressource (DE-627)325699542 (DE-600)2039299-0 (DE-576)094422338 1531-5037 nnns volume:57 pages:1293-1308 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie AR 57 1293-1308 |
| allfields_unstemmed |
10.1016/j.jpedsurg.2022.01.003 doi (DE-627)ELV00804144X (ELSEVIER)S0022-3468(22)00041-0 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Gates, Robert L verfasserin aut Management of the undescended testis in children: An American Pediatric Surgical Association Outcomes and Evidence Based Practice Committee Systematic Review 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: Management of undescended testes (UDT) has evolved over the last decade. While urologic societies in the United States and Europe have established some guidelines for care, management by North American pediatric surgeons remains variable. The aim of this systematic review is to evaluate the published evidence regarding the treatment of (UDT) in children.Methods: A comprehensive search strategy and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were utilized to identify, review, and report salient articles. Five principal questions were asked regarding imaging standards, medical treatment, surgical technique, timing of operation, and outcomes. A literature search was performed from 2005 to 2020.Results: A total of 825 articles were identified in the initial search, and 260 were included in the final review.Conclusions: Pre-operative imaging and hormonal therapy are generally not recommended except in specific circumstances. Testicular growth and potential for fertility improves when orchiopexy is performed before one year of age. For a palpable testis, a single incision approach is preferred over a two-incision orchiopexy. Laparoscopic orchiopexy is associated with a slightly lower testicular atrophy rate but a higher rate of long-term testicular retraction. One and two-stage Fowler-Stephens orchiopexy have similar rates of testicular atrophy and retraction. There is a higher relative risk of testicular cancer in UDT which may be lessened by pre-pubertal orchiopexy. Undescended testis/testes Cryptorchidism Orchiopexy Testicular cancer Shelton, Julia verfasserin (orcid)0000-0003-4038-9412 aut Diefenbach, Karen A verfasserin aut Arnold, Meghan verfasserin aut St. Peter, Shawn D. verfasserin (orcid)0000-0002-6140-9016 aut Renaud, Elizabeth J. verfasserin aut Slidell, Mark B. verfasserin (orcid)0000-0002-9551-5888 aut Sømme, Stig verfasserin aut Valusek, Patricia verfasserin (orcid)0000-0003-3295-117X aut Villalona, Gustavo A. verfasserin (orcid)0000-0002-9338-5258 aut McAteer, Jarod P. verfasserin aut Beres, Alana L. verfasserin (orcid)0000-0002-5858-1026 aut Baerg, Joanne verfasserin (orcid)0000-0002-0388-8485 aut Rentea, Rebecca M. verfasserin (orcid)0000-0002-8689-5989 aut Kelley-Quon, Lorraine verfasserin aut Kawaguchi, Akemi L. verfasserin aut Hu, Yue-Yung verfasserin (orcid)0000-0001-8657-5873 aut Miniati, Doug verfasserin aut Ricca, Robert verfasserin (orcid)0000-0001-8679-5438 aut Baird, Robert verfasserin aut Enthalten in Journal of pediatric surgery Orlando, Fla. : Elsevier, 1966 57, Seite 1293-1308 Online-Ressource (DE-627)325699542 (DE-600)2039299-0 (DE-576)094422338 1531-5037 nnns volume:57 pages:1293-1308 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie AR 57 1293-1308 |
| allfieldsGer |
10.1016/j.jpedsurg.2022.01.003 doi (DE-627)ELV00804144X (ELSEVIER)S0022-3468(22)00041-0 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Gates, Robert L verfasserin aut Management of the undescended testis in children: An American Pediatric Surgical Association Outcomes and Evidence Based Practice Committee Systematic Review 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: Management of undescended testes (UDT) has evolved over the last decade. While urologic societies in the United States and Europe have established some guidelines for care, management by North American pediatric surgeons remains variable. The aim of this systematic review is to evaluate the published evidence regarding the treatment of (UDT) in children.Methods: A comprehensive search strategy and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were utilized to identify, review, and report salient articles. Five principal questions were asked regarding imaging standards, medical treatment, surgical technique, timing of operation, and outcomes. A literature search was performed from 2005 to 2020.Results: A total of 825 articles were identified in the initial search, and 260 were included in the final review.Conclusions: Pre-operative imaging and hormonal therapy are generally not recommended except in specific circumstances. Testicular growth and potential for fertility improves when orchiopexy is performed before one year of age. For a palpable testis, a single incision approach is preferred over a two-incision orchiopexy. Laparoscopic orchiopexy is associated with a slightly lower testicular atrophy rate but a higher rate of long-term testicular retraction. One and two-stage Fowler-Stephens orchiopexy have similar rates of testicular atrophy and retraction. There is a higher relative risk of testicular cancer in UDT which may be lessened by pre-pubertal orchiopexy. Undescended testis/testes Cryptorchidism Orchiopexy Testicular cancer Shelton, Julia verfasserin (orcid)0000-0003-4038-9412 aut Diefenbach, Karen A verfasserin aut Arnold, Meghan verfasserin aut St. Peter, Shawn D. verfasserin (orcid)0000-0002-6140-9016 aut Renaud, Elizabeth J. verfasserin aut Slidell, Mark B. verfasserin (orcid)0000-0002-9551-5888 aut Sømme, Stig verfasserin aut Valusek, Patricia verfasserin (orcid)0000-0003-3295-117X aut Villalona, Gustavo A. verfasserin (orcid)0000-0002-9338-5258 aut McAteer, Jarod P. verfasserin aut Beres, Alana L. verfasserin (orcid)0000-0002-5858-1026 aut Baerg, Joanne verfasserin (orcid)0000-0002-0388-8485 aut Rentea, Rebecca M. verfasserin (orcid)0000-0002-8689-5989 aut Kelley-Quon, Lorraine verfasserin aut Kawaguchi, Akemi L. verfasserin aut Hu, Yue-Yung verfasserin (orcid)0000-0001-8657-5873 aut Miniati, Doug verfasserin aut Ricca, Robert verfasserin (orcid)0000-0001-8679-5438 aut Baird, Robert verfasserin aut Enthalten in Journal of pediatric surgery Orlando, Fla. : Elsevier, 1966 57, Seite 1293-1308 Online-Ressource (DE-627)325699542 (DE-600)2039299-0 (DE-576)094422338 1531-5037 nnns volume:57 pages:1293-1308 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie AR 57 1293-1308 |
| allfieldsSound |
10.1016/j.jpedsurg.2022.01.003 doi (DE-627)ELV00804144X (ELSEVIER)S0022-3468(22)00041-0 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Gates, Robert L verfasserin aut Management of the undescended testis in children: An American Pediatric Surgical Association Outcomes and Evidence Based Practice Committee Systematic Review 2022 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: Management of undescended testes (UDT) has evolved over the last decade. While urologic societies in the United States and Europe have established some guidelines for care, management by North American pediatric surgeons remains variable. The aim of this systematic review is to evaluate the published evidence regarding the treatment of (UDT) in children.Methods: A comprehensive search strategy and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were utilized to identify, review, and report salient articles. Five principal questions were asked regarding imaging standards, medical treatment, surgical technique, timing of operation, and outcomes. A literature search was performed from 2005 to 2020.Results: A total of 825 articles were identified in the initial search, and 260 were included in the final review.Conclusions: Pre-operative imaging and hormonal therapy are generally not recommended except in specific circumstances. Testicular growth and potential for fertility improves when orchiopexy is performed before one year of age. For a palpable testis, a single incision approach is preferred over a two-incision orchiopexy. Laparoscopic orchiopexy is associated with a slightly lower testicular atrophy rate but a higher rate of long-term testicular retraction. One and two-stage Fowler-Stephens orchiopexy have similar rates of testicular atrophy and retraction. There is a higher relative risk of testicular cancer in UDT which may be lessened by pre-pubertal orchiopexy. Undescended testis/testes Cryptorchidism Orchiopexy Testicular cancer Shelton, Julia verfasserin (orcid)0000-0003-4038-9412 aut Diefenbach, Karen A verfasserin aut Arnold, Meghan verfasserin aut St. Peter, Shawn D. verfasserin (orcid)0000-0002-6140-9016 aut Renaud, Elizabeth J. verfasserin aut Slidell, Mark B. verfasserin (orcid)0000-0002-9551-5888 aut Sømme, Stig verfasserin aut Valusek, Patricia verfasserin (orcid)0000-0003-3295-117X aut Villalona, Gustavo A. verfasserin (orcid)0000-0002-9338-5258 aut McAteer, Jarod P. verfasserin aut Beres, Alana L. verfasserin (orcid)0000-0002-5858-1026 aut Baerg, Joanne verfasserin (orcid)0000-0002-0388-8485 aut Rentea, Rebecca M. verfasserin (orcid)0000-0002-8689-5989 aut Kelley-Quon, Lorraine verfasserin aut Kawaguchi, Akemi L. verfasserin aut Hu, Yue-Yung verfasserin (orcid)0000-0001-8657-5873 aut Miniati, Doug verfasserin aut Ricca, Robert verfasserin (orcid)0000-0001-8679-5438 aut Baird, Robert verfasserin aut Enthalten in Journal of pediatric surgery Orlando, Fla. : Elsevier, 1966 57, Seite 1293-1308 Online-Ressource (DE-627)325699542 (DE-600)2039299-0 (DE-576)094422338 1531-5037 nnns volume:57 pages:1293-1308 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie AR 57 1293-1308 |
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Enthalten in Journal of pediatric surgery 57, Seite 1293-1308 volume:57 pages:1293-1308 |
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Gates, Robert L @@aut@@ Shelton, Julia @@aut@@ Diefenbach, Karen A @@aut@@ Arnold, Meghan @@aut@@ St. Peter, Shawn D. @@aut@@ Renaud, Elizabeth J. @@aut@@ Slidell, Mark B. @@aut@@ Sømme, Stig @@aut@@ Valusek, Patricia @@aut@@ Villalona, Gustavo A. @@aut@@ McAteer, Jarod P. @@aut@@ Beres, Alana L. @@aut@@ Baerg, Joanne @@aut@@ Rentea, Rebecca M. @@aut@@ Kelley-Quon, Lorraine @@aut@@ Kawaguchi, Akemi L. @@aut@@ Hu, Yue-Yung @@aut@@ Miniati, Doug @@aut@@ Ricca, Robert @@aut@@ Baird, Robert @@aut@@ |
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2022-01-01T00:00:00Z |
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<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">ELV00804144X</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230524150415.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230507s2022 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1016/j.jpedsurg.2022.01.003</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)ELV00804144X</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(ELSEVIER)S0022-3468(22)00041-0</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rda</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="082" ind1="0" ind2="4"><subfield code="a">610</subfield><subfield code="q">DE-600</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">44.65</subfield><subfield code="2">bkl</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Gates, Robert L</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Management of the undescended testis in children: An American Pediatric Surgical Association Outcomes and Evidence Based Practice Committee Systematic Review</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2022</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">nicht spezifiziert</subfield><subfield code="b">zzz</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Purpose: Management of undescended testes (UDT) has evolved over the last decade. While urologic societies in the United States and Europe have established some guidelines for care, management by North American pediatric surgeons remains variable. The aim of this systematic review is to evaluate the published evidence regarding the treatment of (UDT) in children.Methods: A comprehensive search strategy and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were utilized to identify, review, and report salient articles. Five principal questions were asked regarding imaging standards, medical treatment, surgical technique, timing of operation, and outcomes. A literature search was performed from 2005 to 2020.Results: A total of 825 articles were identified in the initial search, and 260 were included in the final review.Conclusions: Pre-operative imaging and hormonal therapy are generally not recommended except in specific circumstances. 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Gates, Robert L |
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Gates, Robert L ddc 610 bkl 44.65 misc Undescended testis/testes misc Cryptorchidism misc Orchiopexy misc Testicular cancer Management of the undescended testis in children: An American Pediatric Surgical Association Outcomes and Evidence Based Practice Committee Systematic Review |
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610 DE-600 44.65 bkl Management of the undescended testis in children: An American Pediatric Surgical Association Outcomes and Evidence Based Practice Committee Systematic Review Undescended testis/testes Cryptorchidism Orchiopexy Testicular cancer |
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Gates, Robert L Shelton, Julia Diefenbach, Karen A Arnold, Meghan St. Peter, Shawn D. Renaud, Elizabeth J. Slidell, Mark B. Sømme, Stig Valusek, Patricia Villalona, Gustavo A. McAteer, Jarod P. Beres, Alana L. Baerg, Joanne Rentea, Rebecca M. Kelley-Quon, Lorraine Kawaguchi, Akemi L. Hu, Yue-Yung Miniati, Doug Ricca, Robert Baird, Robert |
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10.1016/j.jpedsurg.2022.01.003 |
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management of the undescended testis in children: an american pediatric surgical association outcomes and evidence based practice committee systematic review |
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Management of the undescended testis in children: An American Pediatric Surgical Association Outcomes and Evidence Based Practice Committee Systematic Review |
| abstract |
Purpose: Management of undescended testes (UDT) has evolved over the last decade. While urologic societies in the United States and Europe have established some guidelines for care, management by North American pediatric surgeons remains variable. The aim of this systematic review is to evaluate the published evidence regarding the treatment of (UDT) in children.Methods: A comprehensive search strategy and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were utilized to identify, review, and report salient articles. Five principal questions were asked regarding imaging standards, medical treatment, surgical technique, timing of operation, and outcomes. A literature search was performed from 2005 to 2020.Results: A total of 825 articles were identified in the initial search, and 260 were included in the final review.Conclusions: Pre-operative imaging and hormonal therapy are generally not recommended except in specific circumstances. Testicular growth and potential for fertility improves when orchiopexy is performed before one year of age. For a palpable testis, a single incision approach is preferred over a two-incision orchiopexy. Laparoscopic orchiopexy is associated with a slightly lower testicular atrophy rate but a higher rate of long-term testicular retraction. One and two-stage Fowler-Stephens orchiopexy have similar rates of testicular atrophy and retraction. There is a higher relative risk of testicular cancer in UDT which may be lessened by pre-pubertal orchiopexy. |
| abstractGer |
Purpose: Management of undescended testes (UDT) has evolved over the last decade. While urologic societies in the United States and Europe have established some guidelines for care, management by North American pediatric surgeons remains variable. The aim of this systematic review is to evaluate the published evidence regarding the treatment of (UDT) in children.Methods: A comprehensive search strategy and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were utilized to identify, review, and report salient articles. Five principal questions were asked regarding imaging standards, medical treatment, surgical technique, timing of operation, and outcomes. A literature search was performed from 2005 to 2020.Results: A total of 825 articles were identified in the initial search, and 260 were included in the final review.Conclusions: Pre-operative imaging and hormonal therapy are generally not recommended except in specific circumstances. Testicular growth and potential for fertility improves when orchiopexy is performed before one year of age. For a palpable testis, a single incision approach is preferred over a two-incision orchiopexy. Laparoscopic orchiopexy is associated with a slightly lower testicular atrophy rate but a higher rate of long-term testicular retraction. One and two-stage Fowler-Stephens orchiopexy have similar rates of testicular atrophy and retraction. There is a higher relative risk of testicular cancer in UDT which may be lessened by pre-pubertal orchiopexy. |
| abstract_unstemmed |
Purpose: Management of undescended testes (UDT) has evolved over the last decade. While urologic societies in the United States and Europe have established some guidelines for care, management by North American pediatric surgeons remains variable. The aim of this systematic review is to evaluate the published evidence regarding the treatment of (UDT) in children.Methods: A comprehensive search strategy and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were utilized to identify, review, and report salient articles. Five principal questions were asked regarding imaging standards, medical treatment, surgical technique, timing of operation, and outcomes. A literature search was performed from 2005 to 2020.Results: A total of 825 articles were identified in the initial search, and 260 were included in the final review.Conclusions: Pre-operative imaging and hormonal therapy are generally not recommended except in specific circumstances. Testicular growth and potential for fertility improves when orchiopexy is performed before one year of age. For a palpable testis, a single incision approach is preferred over a two-incision orchiopexy. Laparoscopic orchiopexy is associated with a slightly lower testicular atrophy rate but a higher rate of long-term testicular retraction. One and two-stage Fowler-Stephens orchiopexy have similar rates of testicular atrophy and retraction. There is a higher relative risk of testicular cancer in UDT which may be lessened by pre-pubertal orchiopexy. |
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Shelton, Julia Diefenbach, Karen A Arnold, Meghan St. Peter, Shawn D. Renaud, Elizabeth J. Slidell, Mark B. Sømme, Stig Valusek, Patricia Villalona, Gustavo A. McAteer, Jarod P. Beres, Alana L. Baerg, Joanne Rentea, Rebecca M. Kelley-Quon, Lorraine Kawaguchi, Akemi L. Hu, Yue-Yung Miniati, Doug Ricca, Robert Baird, Robert |
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Shelton, Julia Diefenbach, Karen A Arnold, Meghan St. Peter, Shawn D. Renaud, Elizabeth J. Slidell, Mark B. Sømme, Stig Valusek, Patricia Villalona, Gustavo A. McAteer, Jarod P. Beres, Alana L. Baerg, Joanne Rentea, Rebecca M. Kelley-Quon, Lorraine Kawaguchi, Akemi L. Hu, Yue-Yung Miniati, Doug Ricca, Robert Baird, Robert |
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10.1016/j.jpedsurg.2022.01.003 |
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2024-07-06T18:20:15.634Z |
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