Cryptorchidism of testicular germ-cell tumors, and psychological problems when the boy is grown. Undescended testes are also more susceptible to testicular torsion (and subsequent infarction) and inguinal hernias. Without intervention, an undescended testicle will usually descend during the first year of life, but to reduce these risks, undescended testes can be brought into the scrotum in infancy by a surgical procedure called an orchiopexy. Although cryptorchidism nearly always refers to congenital absence or maldescent, a testis observed in the scrotum in early infancy can occasionally "reascend" (move back up) into the inguinal canal. A testis which can readily move or be
Users' Guides to the Medical Literature Guyatt introduced the term "evidence-based medicine" to stress the role of rigorous, systematic evidence from clinical research in conjunction with patients’ values and preferences in clinical decision-making. A group of academic physicians subsequently formed the international Evidence-based Medicine Working Group and published a 1992 article announcing the "new paradigm" of evidence-based medicine. The Evidence-based Medicine Working Group decided to build on the popular series in the "Canadian Medical Association Journal" by creating a more practical approach to applying the medical literature to clinical practice. Championed by Dr. Drummond Rennie, an editor of the "Journal of the American Medical Association", the