Friday, October 18, 2013

Cryptorchidism(隱睪症)

症狀/併發症(symptom/complication)
@Palpable (80%): use standard orchiopexy
@Non-palpable (20%): diagnostic laparoscopy
病因(etiology)
|testicular descent do not present

資料來源:新南威爾士大學
檢查/準則(examination/criteria)
#Physical Examination: very important
#ultrasound: sensitivity: 45%; specificity: 78% 
治療(treatment)
$surgery advised during 6 to 12 months
$$Orchidopexy
$$Standard open orchiopexy (lateral extension)
$$Staged orchiopexy (preserved testicular artery)
鑑別診斷(Differential Diagnosis)

流行病學(Epidemiology)
+Undescended testis: Retractile testis: 4.5 ~13 per 1000 births
+Ectopic testis
+Absent testis (Vanishing testis & testicular agenesis): less than 4%
+Ascended testis:less than 2%
+Right side: 70% and left side :30%, right side is more

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