ABSTRACT
BACKGROUND: Maldescensus testis constitutes the most common diagnosis in the daily routine of a paediatric surgeon and is proved to be one of the most established risk factors for future infertility and malignancy. MATERIAL AND METHODS: We examined therapy strategies of paediatricians in the catchment area of the University Clinic of Würzburg in the light of the late time of orchidopexy. This study consists of a short survey sent to 100 local paediatricians. After return, the given answers were put in comparison to the 504 cases of retentio testis treated in our clinic from 2005 to 2010. RESULTS: Theoretical knowledge regarding guidelines for the treatment of retentio testis is abundant among paediatricians in and around Würzburg. Nevertheless, the initial therapy is of a hesitant character and often leads to an unnecessary delay in operation. The average age of boys receiving orchidopexy at our clinic between 2005 and 2010 amounted to 3.3 years. CONCLUSION: Regarding guidelines the average age of cryptorchid boys receiving orchidopexy at the University Clinic of Würzburg was way too high between 2005 and 2010. To some extent this fact can be attributed to the hesitant manner of therapy shown by local paediatricians. An improvement in the time of operation is definitely possible and necessary in order to optimise the outcome.
Subject(s)
Cryptorchidism/surgery , Age Factors , Child, Preschool , Cryptorchidism/complications , Cryptorchidism/diagnosis , Germany , Guideline Adherence , Humans , Infant , Infant, Newborn , Male , Orchiopexy/methods , Retrospective Studies , Risk Factors , Surveys and QuestionnairesABSTRACT
Direct immunofluorescence of scabies lesions revealed IgM, IgA, C3, and fibrin in the cornified layer of the epidermis, dermoepidermal junction, and papillary dermal vessels. The granular deposits of IgM and IgG in the dermoepidermal junction had a pattern similar to that found in lupus erythematosus. These findings support a humoral immune response secondary to scabetic infestation.
