Non-palpable XXXX . Orchiopexy in single stage.

@entity1 @entity6740 @entity1062 @entity3202
From 1986 to 1990, 53 non-palpable @entity1062 were treated in the department of Pediatric Surgery and Endocrinology at the Regina Margherita Hospital, Turin, Italy. The reported @entity1 were 45, 8 of them were bilateral with both @entity1062 non-palpable, 13 of the remaining @entity1 were right cryptorchid and 24 were left. All @entity1 received medical treatment, by LH-RH nasal spray and @entity6740 , before surgery. None of the non-palpable @entity1062 descended by hormone therapy only, so that surgical exploration was always required. In the 53 reported cases, 10 gonads were not found, 13 were @entity3202 and 30 were abdominal. All abdominal gonads were positioned into the scrotum by orchiopexy in a single stage. Half of the @entity1 underwent operation before the age of 2. Therefore, it is to be pointed out that the younger a @entity1 the shorter his inguinal canal, this facilitates orchiopexy for high, undescended @entity1062 . In 10 @entity1 a testicular biopsy was made during surgical procedure. Normal morphology and normal spermatogonia content were observed in the abdominal @entity1062 of the @entity1 who had reached the age of 1 year. During the follow-up of the reported @entity1 no upward displacement was observed. Eleven @entity1 underwent postoperative testicular ultrasonography which showed that parenchymal structure of the operated testis was normal and the volume of the testis was slightly smaller than normal. Based on their experience, the authors suggest to correct cryptorchidism before the age of one year, surgical procedure follows immediately after ineffective hormone therapy.
