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Minerva Pediatrica 2013 February;65(1):77-82

Copyright © 2013 EDIZIONI MINERVA MEDICA

language: Italian

Epidemiology and treatment of cryptorchidism and retractile testis: retrospective study in the area of Naples

Papparella A. 1, Coppola S. 1, Nino F. 1, Andrade Barrientos M. 1, Gasparini N. 2

1 Dipartimento di Pediatria, II Università degli Studi di Napoli, Chirurgia Pediatrica Napoli, Italia; 2 Pediatra di famiglia, ASL Na1 Centro distretto 24, Napoli, Italia


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Aim: The authors report the results of a retrospective study carried out with family pediatricians (PDF) in the area of Naples to verify the epidemiology of cryptorchidism and retractile testis, the therapeutic strategy adopted and to assess whether they were in agreement with the data of the scientific literature.
Methods: The study enrolled 6880 children, aged between 0-14 years, till March 2007; among those were recruited the patients with a diagnosis of cryptorchid and/or retractile testis. A patient schedule was completed with the affected side or bilaterality, age at diagnosis, type of treatment and the number of ascent retractile testis.
Results: A purely descriptive analysis of the data was carried out: 81 patients were diagnosed with cryptorchid patients (1.18%) and 116 with retractile testis (1.68%). In 11 cases an ascent testicle was detected (9.48%). Forty-nine of the 81 cryptorchid patients (60.49%) were diagnosed in the age group of 0-2 years, 25 (30.86%) between 2-4 years and 7 (8.64 %) between 4-8 years. The hormonal therapy associated with surgery was mainly adopted in cryptorchid patients (35 patients).
Conclusion: The incidence of cryptorchidism in the area of Naples (1.18%) has not changed significantly. Only 60.49% of patients have been treated in an appropriate age group (0-2 years). The survey confirms the need to follow up the retractile testes for the possibility of definitive ascent in the inguinal canal. The study highlights the need for early diagnosis and treatment of this disease.

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