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February 23, 1957


JAMA. 1957;163(8):650-651. doi:10.1001/jama.1957.02970430040015

The fact that two articles published in this issue (pages 621 and 626) present widely divergent views on the management of cryptorchism points up the need for more careful observation of the course of testicular descent in those persons in whom this course is atypical. Generally speaking the atypical may represent one extreme of a normal distribution curve rather than an abnormality. It is important at the outset to be sure that we are all talking about the same thing, as it has been suggested on both sides of the controversy that sufficient care is not always taken to differentiate true cryptorchism, in which the testis may be in the abdomen or somewhere in the inguinal canal, and pseudo-cryptorchism, in which it is retracted to a position high in the scrotum. The latter is normal ( but not typical) before puberty, and whether the former should be considered normal or abnormal