RT Journal
A1 KEELEY JL
T1 ORchiopexy
JF A.M.A. Archives of Surgery
JO A.M.A. Archives of Surgery
YR 1959
FD December 1
VO 79
IS 6
SP 994
OP 998
DO 10.1001/archsurg.1959.04320120136016
UL http://dx.doi.org/10.1001/archsurg.1959.04320120136016
AB The absence of one or both testes from the expected location in the scrotum of an infant is an abnormality which is usually discovered promptly by most mothers. It occurs in 1 in 10 newborn infants, but spontaneous descent during the first year of life reduces this incidence to about 1 in 50. These figures suggest that orchiopexy during this period is not indicated. A decreased rate of spontaneous descent obtains from the age of one year until adolescence, and in this interval the question of whether to perform orchiopexy must be considered.Much emphasis has been placed on the importance of distinguishing between a testis which has not been in the scrotum and one which at the time of examination is merely retracted by vigorous cremaster fibers in response to chilling or fright. Information obtained from an observant mother, repeated examination of the patient, and the state of development