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Hodenhochstand: aktuelle Therapierichtlinien

Undescended testis: current treatment guidelines

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Zusammenfassung

Hintergrund

Der Hodenhochstand ist die häufigste genitale Fehlbildung, die bei neugeborenen Jungen diagnostiziert wird. In den letzten Jahren haben sich die Empfehlungen zur Diagnostik und Therapie durch die Implementierung neuer wissenschaftlicher Erkenntnisse teils deutlich verändert.

Ziele der Arbeit

Diese Arbeit soll einen Überblick über die aktuellen Empfehlungen der nationalen und internationalen Leitlinien zur Behandlung des Hodenhochstands geben. Die wesentlichen kontroversiellen Punkte werden im Licht der aktuellen Literatur diskutiert.

Material und Methoden

Die Leitlinien der „European Association of Urology“ (EAU)/„European Society for Pediatric Urology“ (ESPU), der „American Association of Urology“ (AUA), des Arbeitskreises Kinderurologie der Österreichischen Gesellschaft für Urologie (ÖGU), der „International Consultation on Urological Disease“ (ICUD) und der Deutschen Gesellschaft für Urologie (DGU)/der Deutschen Gesellschaft für Kinderchirurgie (DGKCh) wurden hinsichtlich der wesentlich erscheinenden Punkte in Diagnose und Therapie verglichen.

Ergebnisse

Bezüglich der meisten wesentlichen Schritte und Entscheidungen in der Behandlung des Hodenhochstands besteht weitgehend Konsensus. Aspekte der bildgebenden Diagnostik, die neoadjuvante Hormontherapie und der chirurgische Zugang bei nicht tastbaren Hoden sind die Themen, bei denen sich teils wesentliche Änderungen ergaben und größtenteils geringe Diskrepanzen bestehen.

Abstract

Background

Cryptorchidism is the most common genital malformation in male newborns. In recent years, guidelines concerning diagnosis and therapy have undergone considerable evolution with the implementation of recent knowledge in pathophysiology, diagnosis, and therapy.

Objectives

The aim of this publication is to provide an overview of the current national and international guideline recommendations concerning diagnosis and treatment of cryptorchidism. Critical points are discussed in light of current scientific literature.

Materials and methods

The current guidelines of the European Association of Urology (EAU)/European Society for Pediatric Urology (ESPU), the American Association of Urology (AUA), the pediatric urologic task force of the Austrian Society of Urology (ÖGU), the international consultation on urological disease (ICUD) and the German Society of Urology (DGU)/German Association of Pediatric Surgery (DGKCh) have been analyzed concerning the most important aspects of treatment and diagnosis.

Results

There is broad consensus concerning most steps and decisions for the treatment of cryptorchidism. However, some aspects of diagnostic imaging, the use of hormonal therapy, and surgical access in nonpalpable testis warrant further discussion and are the fields of considerable changes.

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Authors and Affiliations

  1. Abteilung für Kinderurologie, Krankenhaus der Barmherzigen Schwestern, Seilerstätte 4, 4010, Linz, Österreich

    B. Haid

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Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Haid, B. Hodenhochstand: aktuelle Therapierichtlinien. Urologe 55, 10–18 (2016). https://doi.org/10.1007/s00120-015-0002-4

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