Age at Orchiopexy JPS Review

The American Urological Association released guidelines that orchiopexy should be done around one year of age but not later than 18 months.

The paper reviewed two major databases in the United States and found that 70% of children get orchiopexy six months beyond the suggested ideal time.

What matters is not the timing of surgery, it depends whether the patient has unilateral cryptorchidism or bilateral cryptorchidism or if their testis is palpable or impalpable.

In a Lancet study, 142 adults who had orchiopexy between ages 7 and 13 years were examined for semen analysis.

Semen analysis was normal or acceptable in patients who had unilateral cryptorchidism.

Patients who had bilateral palpable testes in the superficial pouch had semen which was normal or acceptable.

Patients who had bilateral impalpable testes (either in the abdomen or canalicular) were all azoospermic.