Optimal Management of Undescended Testis in Boys with Cerebral Palsy. A Debate

Sex Dev. 2019;13(1):20-25. doi: 10.1159/000496463. Epub 2019 Feb 1.

Abstract

Cerebral palsy is a rare condition following injury of the developing brain and including nonprogressive neurological disorders, spasticity, intellectual impairment and others. Boys with cerebral palsy have a high incidence of undescended testis. Although the motives for treatment (infertility, cancer prevention, psychological aspects, testicular torsion) are not different in boys without neurological impairment, the decision-making process in boys with cerebral palsy is very difficult. Besides medical and surgical arguments the discussion involves challenging ethical issues.

Keywords: Cerebral palsy; Cryptorchidism; Neurologic impaired boys; Undescended testis.

Publication types

  • Review

MeSH terms

  • Cerebral Palsy / complications*
  • Cryptorchidism / complications*
  • Cryptorchidism / physiopathology
  • Cryptorchidism / surgery
  • Cryptorchidism / therapy*
  • Ethics, Medical
  • Humans
  • Laparoscopy
  • Male
  • Quality of Life
  • Sexuality