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November 19, 1960


Author Affiliations

Massachusetts General Hospital Boston 14.

JAMA. 1960;174(12):1653-1654. doi:10.1001/jama.1960.03030120093029

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To the Editor:—  Undescended testes are treated surgically for four reasons: first, to correct an anatomical abnormality which may be embarrassing to a growing child; second, to encourage the normal development of testes to produce sperm; third, to bring testicles into the scrotum so that possible tumor formation will be noted early; and, fourth, to correct associated congenital hernia. The more that is learned about the physiology of the developing testis, the more it is realized that if orchidopexy is to be done it should be done at an early age, probably before the age of five. It does appear that testes which remain in an abnormal position beyond this age usually fail to mature and are inadequate so far as spermatogenesis is concerned. The trend at the present time, therefore, is early operation after an effort to cause descent of the testicles by giving a short full course of

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