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Surgical Considerations of Testicular Maldescent

  • John HutsonEmail author
Chapter

Abstract

The scrotum is a specialised, low-temperature environment which allows optimal postnatal development of the gonocytes and postpubertal spermatogenesis. The temperature of the scrotum is 33 °C, which means that intraabdominal testes are 4 °C away from optimal physiology and intracellular functioning, which is the likely reason for secondary dysplasia. Temperature-dependent dysgenesis is proposed to cause progressive loss of the spermatogonia, leading to subsequent poor sperm counts, while any residual gonocytes might eventually mutate into a seminoma. Successful surgical placement of the testis into the scrotum is dependent not only on the assumption that the damage is secondary rather than a primary disorder of the testis, but also that early intervention can prevent and/or reverse this. Additionally orchidopexy aims to overcome the cosmetic deformity.

Keywords

Testicular maldescent Cryptorchidism Orchidopexy Cryptorchid testis Scrotal incision 

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Copyright information

© Springer-Verlag GmbH Germany 2018

Authors and Affiliations

  1. 1.Department of PaediatricsUniversity of MelbourneMelbourneAustralia
  2. 2.Department of UrologyRoyal Children’s HospitalMelbourneAustralia
  3. 3.Douglas Stephens Surgical Research Laboratory, Melbourne Royal Children’s HospitalMurdoch Childrens Research InstituteParkvilleAustralia

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