Ascent of the testis in children
- 29 Downloads
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.
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 wordsAscended testis Children Testicular biopsy Orchiopexy Human chorionic gonadotropin
human chorionic gonadotropin
average number of germ cells per cross sectioned seminiferous tubule
Unable to display preview. Download preview PDF.
- 3.Eardley I, Saw KC, Whitaker RH (1993) Surgical outcome of orchiopexy. II. Trapped and ascending testes. Br J Urol 73:204–206Google Scholar
- 5.Hadziselimovic F, Herzog B (1987) Cryptorchidism. Pediatr Surg Int 2: 132–141Google Scholar
- 6.Hadziselimovic F, Herzog B (1990) Hodenerkrankungen im Kindesalter. Hippokrates Verlag, StuttgartGoogle Scholar
- 13.Welkowitz J, Ewen RB, Cohen J (1982) Introductory statistics for the behavioral sciences, 3rd edn. Harcourt Brace Jovanovich, Orlando, pp 157–214Google Scholar