[Is necessary to practice orchiectomy in patients with post-puberal maldescended testes?].
OBJECTIVE
The cryptorchidism is a risk factor for testicular cancer and is associated with cancer in the contraleteral testicle. The mechanism that leads to an increased risk of causes in a cryptorchid testis is unclear.


METHODS
We analyzed 25 patients of 20-years old for maldescended testicles we practiced orchiectomy in 22 testicles and orchiopexy in 7 testicles. The time patients had the testicles in an anomalous location were between 20-51 years.


RESULTS
The elder patients with maldescends testicles came because the couldn't feel the testicle in the scrotum and the 16% of them because of infertility. Only 1 of 25 cases (4%) were demonstrated cancer with pure seminoma.


CONCLUSIONS
In the following up of the patients none of them presented contralateral testicle cancer between 5-10 years. The patients who were practiced the orchiopexy no-one presented testicular cancer between 5-11 years.
Granados Loarca
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Servicio de Urología, Hospital General de Enfermedades Zona 9, Instituto Guatemalteco de Seguridad Social, Guatemala.
Esau Ortega
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D000328:Adult; D000367:Age Factors; D003456:Cryptorchidism / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009919:Orchiectomy; D011446:Prospective Studies; D012189:Retrospective Studies