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European Journal of Pediatrics

, Volume 154, Issue 11, pp 893–895 | Cite as

Ascent of the testis in children

  • J. Mayr
  • G. M. Rune
  • A. Holas
  • G. Schimpl
  • B. Schmidt
  • A. Haberlik
Endocrinology Original Paper

Abstract

Among 460 children who had an orchiopexy (ORP), we identified 72 children who had attended our institution 1–12 years earlier and in whom the testicular position had been specified. Of the 72 boys 19 were had ascended testes (26%). The age at ORP of the children with ascent of the testes was 7.0 years (1.8–14.0 years). Light and electron microscopy of 13 testicular biopsies taken at ORP, showed alterations of germ cells and sertoli cells, similar but less pronounced than alterations seen in congenital undescended testes.

Conclusion

A normally positioned testis may ascend into the inguinal region or upper scrotum and remain there fixed. This secondary cryptorchidism does not usually respond to human chorionic gonadotropin treatment and must be corrected by orchiopexy.

Key words

Ascended testis Children Testicular biopsy Orchiopexy Human chorionic gonadotropin 

Abbreviations

CRY

cryptorchidism

EM

electron microscopy

HCG

human chorionic gonadotropin

ORP

orchiopexy

S/T

average number of germ cells per cross sectioned seminiferous tubule

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Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • J. Mayr
    • 1
  • G. M. Rune
    • 2
  • A. Holas
    • 3
  • G. Schimpl
    • 1
  • B. Schmidt
    • 1
  • A. Haberlik
    • 1
  1. 1.Department of Paediatric SurgeryUniversity of GrazGrazAustria
  2. 2.Institute of AnatomyFree University of BerlinBerlinGermany
  3. 3.Institute of AnesthesiologyFederal Hospital GrazGrazAustria

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