[Cryptorchism: basic concepts and hormonal therapy].
The authors analyze the clinical results of 368 cryptorchid testis that received intramuscular human chorionic gonadotropin (HCG), at the dose of 50 U/kg once a week for 6 weeks. The patients with inguinal anatomical abnormalities or only with subtle retractility were excluded. There was a correlation among the testicle position, the cryptorchism side, the patient's age at the time of the therapy and the results obtained. We observed (i) a delay on child referral; (ii) concurrence of cryptorchism and systemic diseases, most of them with genetical origin; (iii) better results was obtained in children with retractile testis, older than 4 years old and with bilateral cryptorchism. The efficacy of second hormonal treatment was only present in retractile testis that showed partial response to the first hormonal therapy. It is argued that, although the treatment of children under 2 is less effective, the possible prevention of testicular lesions for this early intervention justify the hormonal therapy between 6 and 9 months of life.
Longui
C A
CA
Depto. Pediatria-Unidade de Endocrinologia Pediátrica-Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil.
Calliari
L E
LE
Rodrigues
A G
AG
Kochi
C
C
Domingues
A M
AM
Kaneko
W
W
Monte
O
O