Management Of Bilateral Undescended Testes

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Abstract
Fertility potential can be protected by the expectant management of patients with undescended testes in whom spontaneous descent by puberty is likely and by performance of orchiopexy before puberty in cases in which some abnormality makes spontaneous descent impossible. Awareness of anatomic pitfalls and careful attention to clinical evidence help to make the distinction between the two groups. To determine the quality of the testes put into the scrotum and to predict the fertility potential in the boy with bilateral retention, biopsy should be done routinely at the time of orchiopexy.
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