Current management of the undescended testis.
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.
Fonkalsrud
E W
EW
Department of Pediatric Surgery, UCLA School of Medicine 90024, USA.
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012611:Scrotum / Q000601:surgery; D013091:Spermatogenesis / Q000502:physiology; D013536:Suture Techniques; D013737:Testis / Q000002:abnormalities / Q000601:surgery; D016896:Treatment Outcome