title: Testicular atrophy after attempted pediatric orchidopexy for true undescended testis.
abstract: OBJECTIVE
  A normal testis in the scrotum is the most important outcome of the attempted pediatric orchidopexy for a true undescended testis. The reports of post-orchidopexy testicular atrophy in the literature have ranged from non-existent to unclear. Our purpose in this study was to estimate the incidence of and associated risk factors for post-orchidopexy testicular atrophy.
  
  
  METHODS
  We performed a retrospective review of data from children who had an attempted orchidopexy for a true undescended testis from 1969 to 2003 inclusive. REB approval 1000011987.
  
  
  RESULTS
  There were 1400 attempted orchidopexies involving common (low) type (n=1135), ectopic type (n=174), and high type testes (n=91). There were a total of 111/1400 (8%) atrophic testes, mostly right-sided. 66/111 (59%) were MADE atrophic, and 45 (41%) were FOUND atrophic. Of the 1135 common type, 56 (5%) were MADE atrophic. In the ectopic and high types, the incidence of post-operative testicular atrophy was 1% and 9%, respectively. The most significant risk factors associated with testes MADE atrophic were high testicle, vas problems, and pre-operative torsion.
  
  
  CONCLUSIONS
  In this series, the incidence of post-operative testicular atrophy that was MADE was 5% in the common (low) type and 9% in the high type. These numbers and the above risk factors should be quoted to the caregiver during pre-operative informed consent.
authors: Division of General and Thoracic Surgery, Hospital for Sick Children, Toronto, Ontario, Canada, M5G 1X8. Electronic address: a_ein@istar.ca.
authors: Sigmund H
authors: SH
authors: Ein
authors: Division of General and Thoracic Surgery, Hospital for Sick Children, Toronto, Ontario, Canada, M5G 1X8.
authors: Ahmed
authors: A
authors: Nasr
authors: Division of General and Thoracic Surgery, Hospital for Sick Children, Toronto, Ontario, Canada, M5G 1X8.
authors: Paul W
authors: PW
authors: Wales
authors: Division of General and Thoracic Surgery, Hospital for Sick Children, Toronto, Ontario, Canada, M5G 1X8.
authors: Arlene
authors: A
authors: Ein
mesh_terms: D000293:Adolescent; D001284:Atrophy; D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D011183:Postoperative Complications / Q000473:pathology*; D012189:Retrospective Studies; D012307:Risk Factors; D013737:Testis / Q000473:pathology*; D016896:Treatment Outcome
keywords: Atrophic testis; Orchidopexy; Risk factors; Undescended testis