Current management of the undescended testis

Semin Pediatr Surg. 1996 Feb;5(1):2-7.

Abstract

True undescended testes are unilateral in approximately 80% of cases, are rarely corrected by human chorionic gonadotropin (hCG), and should be treated by orchiopexy before the patient reaches the age of 3 years to permit optimal tubular development and sperm function. A cryptorchid testis does not mature normally after the age of 2 years and may produce adverse effects on the contralateral descended testis. The higher a cryptorchid testis resides above the scrotum, the more dysgenetic the morphology is likely to be. Hypoplastic cryptorchid testes should be removed early, and high-positioned testes that have not been surgically placed into the scrotum before midadolescence generally should be removed.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Cryptorchidism / etiology
  • Cryptorchidism / surgery*
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Scrotum / surgery
  • Spermatogenesis / physiology
  • Suture Techniques
  • Testis / abnormalities
  • Testis / surgery
  • Treatment Outcome