The high scrotal (gliding) testis revised

At present, the high scrotal testis is considered a distinct and separate entity of undescended testis. The aim of this study was to assess whether high scrotal testis is actually either a congenital- or acquired-undescended testis. In 527 consecutive boys (aged 0.4 to 16.5 years, mean 7.5) referred...

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Bibliographic Details
Published in:European journal of pediatrics 2007, Vol.166 (1), p.57-61
Main Authors: HACK, Wilfried W. M, SIJSTERMANS, Karlijn, VAN DER VOORT-DOEDENS, Laszla M, MEIJER, Rob W, HAASNOOT, Krijn
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Boys
Child
Child, Preschool
Cryptorchidism - diagnosis
Cryptorchidism - etiology
Cryptorchidism - pathology
General aspects
Gynecology. Andrology. Obstetrics
Humans
Infant
Male
Male genital diseases
Medical sciences
Non tumoral diseases
Puberty
Testes
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Summary:At present, the high scrotal testis is considered a distinct and separate entity of undescended testis. The aim of this study was to assess whether high scrotal testis is actually either a congenital- or acquired-undescended testis. In 527 consecutive boys (aged 0.4 to 16.5 years, mean 7.5) referred for non-scrotal testis, the number of high scrotal testis was prospectively determined. According to previous testis position, the high scrotal testis was classified into congenital- and acquired-high scrotal testis. In congenital-high scrotal testis orchidopexy was performed whereas spontaneous descent at puberty was awaited in acquired-high scrotal testis. In 210 testes, the gonad was diagnosed as high scrotal. In six testes the condition was congenital and 204 testes were diagnosed as acquired. All cases of congenital-high scrotal testis were treated surgically. In 100 acquired-high scrotal testis follow-up was performed. Of these, 75 testes descended spontaneously at puberty. We propose that the high scrotal testis should be regarded, not as a distinct and separate entity, but as a part of the spectrum of either congenital-undescended testis or acquired-undescended testis. Since spontaneous descent can occur at puberty in acquired-high scrotal testis, therapy may be different between both forms.
ISSN:0340-6199
1432-1076
DOI:10.1007/s00431-006-0202-4