The retractile testis can be a cause of adult infertility

Fertility and Sterility
M CaucciS Cinti

Abstract

To determine the functional state of the testes of young adults treated for small and hypotrophic retractile testis at prepubertal age by orchiopexy and/or hormonal therapy and the functional state of the testes of adults with retractile testis. Spermiogram and transmission electron microscopy (TEM) study of the semen. Light microscopic and TEM studies of semen and testicular biopsies of adult with retractile testis were performed. Division of Pediatric Surgery in an academic environment. Thirty-eight young adults (mean age, 18 years) treated for retractile testis at prepubertal age and seven adults (mean age, 28 years) with retractile testis. Two cycles of hCG, followed by surgical therapy (orchiopexy) when unsuccessful. Fertility of young adults treated for retractile testis at prepubertal age. Only 8 of 38 (21%) young adults had normal spermiograms. Five of 38 (13%) were azoospermic and 25 of 38 (66%) were oligoasthenozoospermic with ultrastructural signs of altered maturation of the sperm and a higher number of atypical forms. Of the adults with retractile testis, 2 of 7 (28.5%) were normal, 3 of 7 (43%) were oligoasthenozoospermic, and 2 of 7 (28%) were azoospermic. Our data support the hypothesis that prepubertal retracti...Continue Reading

References

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Citations

May 16, 2007·Pediatric Surgery International·Masayuki KubotaKanako Satoh
Aug 24, 1999·The Journal of Urology·S W HanJ Y Han
Sep 29, 2011·The Journal of Urology·J GoedeW W M Hack
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Nov 10, 2004·Fertility and Sterility·Jens FedderGert Bruun Petersen
Aug 12, 2014·Pediatric and Developmental Pathology : the Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society·Manuel NistalMiguel Reyes-Múgica
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Oct 13, 2012·Korean journal of urology·Jae Jun BaeSung Kwang Chung
Mar 26, 2008·Urologia Internationalis·Mustafa InanTuran Ceylan

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