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Unidentified undescended testes in teenage boys with severe learning disabilities
  1. A R Haire1,
  2. Jenny Flavill1,
  3. W D Groom2,
  4. B Dhandapani1
  1. 1Kaleidoscope Children's Resource Centre, London, UK
  2. 2Kettering General Hospital NHS Trust, Kettering, UK
  1. Correspondence to Dr A R Haire, Kaleidoscope Children's Resource Centre, 32 Rushey Green, Lewisham, London SE6 4JF, UK; hairean{at}


Nine boys of secondary school age were referred with undescended testes (UDT) to paediatric surgeons over a period of 8 years. All were referred from the same community paediatric clinic for children with severe learning disabilities. UDT cause concern because of a threefold increase in the incidence of cancer. Cosmesis and reduced fertility were seen as less relevant issues for these boys. The late identification and incidence of UDT are discussed. It is suggested that awareness of this issue should be raised and screening introduced. Advice is needed on the appropriate management of UDT in this group of boys.

  • Comm Child Health
  • Neurodisability
  • Paediatric Practice
  • Paediatric Surgery

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