Testicular prostheses in children: Is earlier better?

Peycelon, Matthieu; Rossignol, G; Muller, Cécile; Carricaburu, E.; Philippe‐Chomette, Pascale; Paye-Jaouen, Annabel; El-Ghoneimi, Alaa

doi:10.1016/j.jpurol.2016.04.022

Cited by 17 publications

(21 citation statements)

References 29 publications

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“…While prostheses have been shown to improve body image and decrease stress for males with monorchidism, few children undergo placement of a prosthesis [Peycelon et al, 2016]. Peycelon et al [2016] reviewed 26 patients who had a total of 38 testicular prosthesis placements.…”

Section: Pubertal/postpubertal Periodmentioning

confidence: 99%

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Surgical Management of Undescended Testis - Timetable and Outcome: A Debate

Thorup

Cortes

2019

Sex Dev

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Around 1.4-3.8% of boys in the Western world are operated because of cryptorchidism. This means that orchidopexy remains one of the most common surgical procedures performed in boys. As a consequence, several consensus reports, guidelines, and reviews dealing with the management of cryptorchidism have been published recently. Based on our research and 30 years' experience with the management of cryptorchidism, the intention of the present publication is to advise on the surgical management and comment on the expected outcome, especially with focus on the controversies related to guidelines and reviews. Except for late referral and waiting lists, which may be practical problems, there is no reason to postpone orchidopexy for nonsyndromic congenital cryptorchid testes beyond 6 months. There is good evidence that such strategy improves the fertility potential and decreases the risk of testicular cancer. In cases with genuine gonadotropin insufficiency, early surgical correction is not enough and adjuvant LH-RH treatment should be implemented to improve the fertility potential. Cryopreservation may be an option in case of treatment failure of adjuvant LH-RH. A prerequisite for such management includes serum hormone assessment and evaluation of testicular biopsies at orchidopexy. Ascended testes contribute to 20-60% of operative cases and should be treated when diagnosed.

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Section: Pubertal/postpubertal Periodmentioning

confidence: 99%

“…Peycelon et al [2016] reviewed 26 patients who had a total of 38 testicular prosthesis placements. The mean follow-up was 36.2 months.…”

Section: Pubertal/postpubertal Periodmentioning

confidence: 99%

Surgical Management of Undescended Testis - Timetable and Outcome: A Debate

Thorup

Cortes

2019

Sex Dev

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“…While prostheses have been shown to improve body image and decrease stress for males with monorchidism, 32 few children undergo placement of a prosthesis. 33 Peycelon et al demonstrated significantly increased risk of complications if a prosthesis is placed more than a year after orchiectomy. 33 Delayed prosthesis placement can also lead to scrotal asymmetry which may be difficult to correct.…”

Section: Special Situationsmentioning

confidence: 99%

“…33 Peycelon et al demonstrated significantly increased risk of complications if a prosthesis is placed more than a year after orchiectomy. 33 Delayed prosthesis placement can also lead to scrotal asymmetry which may be difficult to correct. Therefore, Kogan recommends early placement of a prosthesis and considering the use of a large implant in prepubertal patients to avoid scrotal asymmetry as the patient ages.…”

Section: Special Situationsmentioning

confidence: 99%

The Nonpalpable Testis: A Narrative Review

Shepard

Kraft

2017

Journal of Urology

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Purpose While the nonpalpable testis represents only a small portion of all cryptorchid testes, it remains a clinical challenge for pediatric urologists. Many controversies about the best evaluation and management exist. This narrative review serves as an update on what is known about the nonpalpable testis: etiology, pre-operative evaluation, the best surgical management, novel techniques, and ongoing controversies. Materials and Methods A Pubmed® and MEDLINE® search limited to January 2000 to January 2017 was performed using relevant key terms. Of 367 articles, a total of 115 manuscripts were considered for inclusion based on an a priori design. Utilizing a narrative review format, an update on the evaluation and management of the nonpalpable testis including novel concepts and techniques was synthesized. Results The nonpalpable testis should be evaluated by physical exam only. Imaging is not indicated for the routine case. The optimal surgical approach and technique remains debated, but several novel techniques have been described. Due to the rarity of the nonpalpable testis, randomized controlled trial and other quality comparisons are difficult. Therefore, several controversies in management remain. Conclusions The evaluation and management of the nonpalpable testis remains difficult and some aspects remain debated. Future research should focus on multi-institutional collaborative trials to determine the optimal operative management.

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“…1,7 So absence of a testis related to cryptorchidism is probably as common as testicular loss after spermatic cord torsion. 8 Peycelon et al 8 reviewed 26 patients who had a total of 38 testicular prostheses placements. Mean follow-up was 36.2 months.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Follow-Up after Treatment of Cryptorchidism

Thorup

Cortes

2016

Eur J Pediatr Surg

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When considering long-term prognosis and results in adult age following treatment of cryptorchidism in childhood there are three main issues to be discussed: cosmetics, fertility, and malignancy. In the present review, the most recent research on the topics related to summaries of well-known knowledge on the field is presented.To some extent a smaller testis in a higher scrotal position than normal must be accepted as a fair cosmetic result after orchidopexy in childhood. The smaller testis size is related to the impaired fertility potential of the testis. In cases with atrophy, testicular prosthesis implantation is an option with good operative results. The risk of impaired fertility potential in adults treated in childhood for cryptorchidism is still significant and worst in bilateral disease. We need repetitive solid long-term follow-up data to show that orchidopexy performed within first year of life has markedly improved the fertility potential. Men previously having orchidopexy for cryptorchidism related to intra-abdominal testes, abnormal external genitalia and/or abnormal karyotype, and/or hypospadias are of special increased risk of developing testicular cancer. In these cases intratubular germ cell neoplasia may be diagnosed in prepubertal age. Early orchidopexy may lower the risk of developing testicular cancer.

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Testicular prostheses in children: Is earlier better?

Cited by 17 publications

References 29 publications

Surgical Management of Undescended Testis - Timetable and Outcome: A Debate

Surgical Management of Undescended Testis - Timetable and Outcome: A Debate

The Nonpalpable Testis: A Narrative Review

Long-Term Follow-Up after Treatment of Cryptorchidism

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