title: Cryptorchidism, orchiopexy and infertility: a critical long-term retrospective analysis.
abstract: 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.
authors.affiliation: Division of Urology, Children's Hospital of Philadelphia, Pennsylvania.
authors.forename: M
authors.initials: M
authors.lastname: Cendron
authors.forename: M A
authors.initials: MA
authors.lastname: Keating
authors.forename: D S
authors.initials: DS
authors.lastname: Huff
authors.forename: C E
authors.initials: CE
authors.lastname: Koop
authors.forename: H M
authors.initials: HM
authors.lastname: Snyder
authors.forename: J W
authors.initials: JW
authors.lastname: Duckett
mesh_terms: 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