Iraqi Postgraduate Medical Journal

Abstract

BACKGROUND:
Cryptorchidism is one of the most common congenital urological disease. The prevalence of
cryptorchidism at birth varies from 2 to 5% and the testis mostly descend during the first 6 months
of life. In large clinical series, the majority, 75-80% of undescended testes are palpable and 60-70%
are unilateral involvement of the right side is more common. The recommended age of orchiopexy
progressivley descreased from 10-15 years in the 1950 until the last decade, orchiopexy is
recommended between 6-12 months.
OBJECTIVE:
The aim of this study was to determine the most of favorable age at which orchipexy should be
performed
PATIENTS AND METHODS:
Fifty 50 newborn boys babys with undescended testes was followed up through two years from
February 2015 to February 2017 in a private clinic in Baghdad. Follow up done every 3 months
included examination of the inguinal and scrotal area to palpate the position of the testis, and history
taken for the family history of undescended testis.
RESULTS:
Forty one (82%) babies with unilateral undescended testis, follow up of 1 year, 36.6% of babies,
the testes were descended down to its normal position, and only one case (2.4%) had incomplete
descent. Those with bilateral undescended testes (9 babies; 18%), only 11.1% of them had complete
descent to normal position.
CONCLUSION:
Boys with retractile testes do not need medical or surgical treatment but require close follow up.
Spontaneous descent of testes from inguinal to suprascrotal or scrotal position are observed in
majority of infant boys during first year of life.