Skip to main content

Advertisement

Log in

The ascending testis: is late orchidopexy due to failure of screening or late ascent?

  • ORIGINAL ARTICLE
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

Abstract

It is widely recommended that infant boys with undescended testes (UDT) should be referred for surgical opinion before the age of 18 months. To attempt to identify the reasons why the mean age at orchidopexy in our institution was as high as 5.5 years, a retrospective review of the screening history, examinations, and management of boys over the age of 3 years at the time of orchidopexy was undertaken by reference to community, general practitioner, and hospital records. In 36 children where hospital and community records giving information prior to referral were available, the UDT had previously been documented on at least one occasion as descended in 24 children or retractile in 10. In 1 child there was delayed referral, and in another, there was operative delay. It is concluded that there is either frequent failure of the Child Health Surveillance screening programme, or that late ascent of a testis previously sited in the scrotum is a common occurrence. We recommend further prospective studies to clarify this latter phenomenon.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Author information

Authors and Affiliations

Authors

Additional information

Accepted: 28 July 2000

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lamah, M., McCaughey, E., Finlay, F. et al. The ascending testis: is late orchidopexy due to failure of screening or late ascent?. Pediatr Surg Int 17, 421–423 (2001). https://doi.org/10.1007/s003830000535

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s003830000535

Navigation