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Pediatric Surgery (Pg 68-81) - page 8 / 33

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If bilateral nonpalpable testes, check HCG to see if serum testosterone rises.  If it does not, no testicular tissue exists.

New treatment:  HCG or leutenizing hormone-releasing hormone as initial treatment, still controversial and more likely to work with bilateral cryptorchidism

Most common treatment:  orchidopexy during second year of life with closure of patent processus vaginalis.  Place testicle in dartos muscle pouch.

Atrophic testes or found in late puberty – orchiectomy, laparoscopic or open

Prognosis:  after orchidopexy, 80-90% of boys with unilateral cryptorchidism are fertile; 50% with bilateral cryptorchidism are fertile

Testosterone and secondary sex characteristics are unaffected

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