The ideal timing for surgical correction of undescended testes is 6 months – 1 year of age. Orchiopexy should not be performed before 6 months of age, as testes may descend spontaneously during the first few months of life. The highest quality evidence recommends orchiopexy between 6 and 12 months of age. Surgery during this time frame may optimize spermatogenic functions.
Conditions: Undescended Testes (Undescended Testicle)
Procedures: Orchiopexy, Orchidopexy
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Sources
- Chan E, Wayne C, Nasr A; FRCSC for Canadian Association of Pediatric Surgeon Evidence-Based Resource. Ideal timing of orchiopexy: a systematic review. Pediatr Surg Int. 2014 Jan;30(1):87-97. (PubMed)
- Kim SO, Hwang EC, Hwang IS, Oh KJ, Jung SI, Kang TW, et al. Testicular catch up growth: the impact of orchiopexy age. Urology. 2011 Oct;78(4):886-9. (PubMed)
- Kollin C, Karpe B, Hesser U, Granholm T, Ritzén EM. Surgical treatment of unilaterally undescended testes: testicular growth after randomization to orchiopexy at age 9 months or 3 years. J Urol. 2007 Oct;178(4 Pt 2):1589-93; discussion 1593. (PubMed)