hCG 1500 IU weekly, for 6 weeks
Optimal time for orchidopexy is 6-12 months
Dear Ayman
hormonal therapy has specific indications and parents should be informed of the side effects. It is indicated for bilateral undescended testis with signs of hypogonadism, small scrotum, or general endocrine disorders or malformatives!!. rarely in unilateral UDT unless specific indications. dosage depends on the weight can go from 500-1500U. 4weeks should be enough.
orchidopexy is recommended at 9-12months
There is no indication hormonal therapy for undescended testes. After 6 months old we perform operation
Dear Colleague
Hormonal therapy exists in many international protocol for undescended testis, including american family medicine and others. Some evidence on that:
Colodny AH. Undescended testes—is surgery necessary? [Editorial]. N Engl J Med. 1986;314:510–1.
Pyorala S, Huttunen NP, Uhari M. A review and meta-analysis of hormonal treatment of cryptorchidism. J Clin Endocrinol Metab. 1995;80:2795–9.
three indications for hormonal treatment in UDT-a)diagnostic- to differentiate impalpable testis from anorchia(b) to increase the collaterals before fowler stephens
Therapeutic benefits of hormonal treatment are mainly limited to retractile testis
Retractile testis is not a disease but a developmental phase, which should be accurately differentiated from ectopic parascrotal testis. Hormonal therapy is useless in true undescended testis that should be approached solely with orchiopexy. Surgery should be sheduled between 9 and 12 months of age in case of true undescended testis. Timing is more flexile in case of ectopic testis.
Treatement choices include: watchful waiting/ hormonal treatment/ surgery
Type of therapy is selected according to age at presentation and the location of the cryptorchid testicle. Watchful waiting may be used in boys
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