8 yr. old boy with undescended testis, your concern to ask for operation is due to
A. Cosmetic reasonsB. Infertility
C. Risk of malignancy
D. Impotence
E. failure to develop secondary sexual charecteristics
The Answer is . (B) Infertility (C) Risk of malignancy
• Early orchidopexy reduces the risk of primary germ
cell tumours of testis
There is no reliable statistics as to whether
orchidopexy diminishes the liability of malignancy. However.it does improve the
prospect of early diagnosis.
• orchidopexy decreases the risk of neoplasia when
performed before 10 yr.
— The definite histological changes occur in an
undescended testis by age of 6 yrs, hence orchidopexy should be
done before child goes to school 5 yrs. of age). After
16 years, irrevesible, destructive changes occur, halt, the spermtogenesis,
limit the androgen production to half the normal output. However, the secondary
sexual charecteristics are sually not affected.
