Cryptorchidism, orchiopexy and infertility: a critical long-term retrospective analysis.
We assessed the fertility of 40 patients who underwent orchiopexy between 1950 and 1960. Testicular biopsies also had been performed at operation, a practice exceptional for the era. Of 23 patients with unilateral undescended testes who attempted to have children 20 (87 per cent) were successful. In contrast, only 3 (33 per cent) of 9 patients with bilateral undescended testes fathered children. Over-all sperm counts in 16 patients were low but they were not predictive of paternity. Testicular biopsy specimens were reviewed and the fertility index was determined. In most cases a good correlation was found between histological status and paternity status.
Cendron
M
M
Division of Urology, Children's Hospital of Philadelphia, Pennsylvania.
Keating
M A
MA
Huff
D S
DS
Koop
C E
CE
Snyder
H M
HM
Duckett
J W
JW
D000328:Adult; D001706:Biopsy; D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism / Q000601:surgery*; D006801:Humans; D007248:Infertility, Male / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013076:Sperm Count; D013737:Testis / Q000473:pathology; D013997:Time Factors