BMJ 1994;309:194 (16 July)

Letters

When to do orchidopexy

EDITOR, - It is unfortunate that the paper from the United Kingdom Testicular Cancer Study Group reporting a study completed on 1 January 1987 was not published until this year.1 Many urologists will be startled at some of the statements in the paper.

Of the 794 men with testicular germ cell tumour studied, 165 were aged under 24. In the early 1960s, when they would have been diagnosed as having undescended testes, the current policy of early orchidopexy was not widely accepted. The paper dwells on orchidopexies done after the age of 10, implying that orchidopexy at an early age is not necessary. That may be true from the point of view of diminishing the risk of malignancy, but from the point of view of fertility it is disastrous to do orchidopexies as late as 10. If testes have not descended into the scrotum by about the age of 2 . . . [Full text of this article]


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