Verworven niet-scrotale testis

Behandeling en consequenties voor latere vruchtbaarheid
Stand van zaken
Jocelyn van Brakel, Sabine M.P.F. de Muinck Keizer-Schrama, Frans W. J. Hazebroek en Gert R. Dohle

Acquired undescended testes: treatment and consequences for future fertility

  • 1-3% of boys develop an acquired undescended testes (UDT), meaning that the testes cannot be returned into the scrotum after previously having been located in a stable scrotal position.
  • Fertility issues for patients with acquired UDT are comparable to those for patients with congenital UDT.
  • Hypothetically speaking, patients with acquired UDT are at lower risk of testicular cancer than patients with congenital UDT.
  • The appearance of an asymmetrical scrotum, which is associated with UDT, may negatively influence quality of life.
  • Over 50% of the acquired UDTs will spontaneously descend at the start of puberty, thereby justifying conservative management of the condition.
  • Orchidopexy directly after diagnosis does not have any advantages over awaiting spontaneous descent until puberty when fertility in later life of patients with unilateral acquired UDT is concerned; however, it may be beneficial in bilateral acquired UDT.

Conflict of interest and financial support: none declared.