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December 12, 1977

Medical News

JAMA. 1977;238(24):2583-2591. doi:10.1001/jama.1977.03280250009002

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Testicle transplant surgical approach can apply also in cryptorchidism  The first testicle transplant ever done is an apparent success. But given the rarity of the condition that made it possible, it could be the last ever done. The donor was the identical twin brother of the 30-year-old recipient, who was born completely anorchic. Fortunately, his generous twin was normally endowed.The operation was rather spectacular, but few male identical twins can be expected to turn up with this particular problem. Fortunately, the same surgical approach can be used for a much more common condition: cryptorchidism. In some cases, the undescended testicles are found too high in the abdomen to allow the surgeon simply to lower them into the scrotum. In such cases, said Sherman J. Silber, MD, the best procedure may be autotransplantation, removing the testicles through an inguinal incision and reimplanting them in the patient's scrotum.As with