{"title":"The timing of cryptorchidism surgery: analysis of the contradiction between guideline consensus and clinical practice implementation.","authors":"Weiyan Tang, Yi Wei","doi":"10.1007/s00383-025-06187-4","DOIUrl":null,"url":null,"abstract":"<p><p>Cryptorchidism is one of the most common reproductive malformations in children, and the timing of surgery significantly impacts fertility and the risk of testicular cancer. Although international guidelines currently recommend testicular fixation within 6-18 months to improve prognosis, many children worldwide undergo surgery later than the recommended age. Delays in surgery are particularly significant in developing countries. This discrepancy may be influenced by factors such as ethnicity, comorbid malformations, economic status, and disease staging. This article provides an overview of global cryptorchidism guideline development and clinical realities, exploring the reasons behind surgical timing disparities to inform the revision of guidelines and improve treatment strategies and prognosis for children with cryptorchidism.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"291"},"PeriodicalIF":1.6000,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Surgery International","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00383-025-06187-4","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
Abstract
Cryptorchidism is one of the most common reproductive malformations in children, and the timing of surgery significantly impacts fertility and the risk of testicular cancer. Although international guidelines currently recommend testicular fixation within 6-18 months to improve prognosis, many children worldwide undergo surgery later than the recommended age. Delays in surgery are particularly significant in developing countries. This discrepancy may be influenced by factors such as ethnicity, comorbid malformations, economic status, and disease staging. This article provides an overview of global cryptorchidism guideline development and clinical realities, exploring the reasons behind surgical timing disparities to inform the revision of guidelines and improve treatment strategies and prognosis for children with cryptorchidism.
期刊介绍：
Pediatric Surgery International is a journal devoted to the publication of new and important information from the entire spectrum of pediatric surgery. The major purpose of the journal is to promote postgraduate training and further education in the surgery of infants and children.
The contents will include articles in clinical and experimental surgery, as well as related fields. One section of each issue is devoted to a special topic, with invited contributions from recognized authorities. Other sections will include:
-Review articles-
Original articles-
Technical innovations-
Letters to the editor
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