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Results of Treatment

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Descent of the Testis

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Abstract

Operative success for cryptorchidism, defined as a testis permanently placed in the scrotum without atrophy, can be achieved for at least 90 % of testes that were originally distal to the external inguinal ring, for at least 85 % of ‘true’ inguinal (i.e. canalicular) testes and for approximately 80 % of intra-abdominal testes.There is good short-term evidence that early operation is likely to decrease the risk of the two major long-term sequelae: infertility and malignancy. However, there is little long-term evidence yet of improved prognosis for fertility and malignancy risk because of the length of time between initial treatment and ultimate result (i.e. 20 years for fertility and 30–40 years for malignancy).Nevertheless, the improved short-term outcomes for early orchidopexy less than 1 year of age suggests that further improved results should be seen in future years, as more patients having orchidopexy in early infancy reach adulthood.

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Author information

Authors and Affiliations

  1. Royal Children’s Hospital University of Melbourne, Parkville, Victoria, Australia

    John M. Hutson

  2. Univ. Hospital of Copenhagen Rigshospitalet, København, Denmark

    Jørgen M. Thorup

  3. University of Otago, Christchurch, New Zealand

    Spencer W. Beasley

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  2. Jørgen M. Thorup
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  3. Spencer W. Beasley
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Hutson, J.M., Thorup, J.M., Beasley, S.W. (2016). Results of Treatment. In: Descent of the Testis. Springer, Cham. https://doi.org/10.1007/978-3-319-25910-9_10

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  • DOI: https://doi.org/10.1007/978-3-319-25910-9_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-25908-6

  • Online ISBN: 978-3-319-25910-9

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