“Down or Out?” How Should We Manage Adolescent Undescended Testes?

Author(s):  
Jason E. Michaud
Keyword(s):  
2008 ◽  
Vol 78 (11) ◽  
pp. 1010-1013 ◽  
Author(s):  
Tamara Bonney ◽  
John Hutson ◽  
Bridget Southwell ◽  
Don Newgreen

2012 ◽  
Vol 110 (8b) ◽  
pp. E387-E391 ◽  
Author(s):  
Jocelyn van Brakel ◽  
Gert R. Dohle ◽  
Sabine M.P.F. de Muinck Keizer-Schrama ◽  
Frans W. Hazebroek
Keyword(s):  

2014 ◽  
Vol 30 (11) ◽  
pp. 1149-1154 ◽  
Author(s):  
Masayuki Kubota ◽  
Kengo Nakaya ◽  
Yuhki Arai ◽  
Toshiyuki Ohyama ◽  
Naoki Yokota ◽  
...  

2012 ◽  
Vol 29 (1) ◽  
pp. 99-100
Author(s):  
Jonathan Evans ◽  
Chryz Cosgrove ◽  
Simon Huddart ◽  
Anthony Lambert

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Simin Chai ◽  
Ran Tian ◽  
Juanjuan Bi ◽  
Shixia Xu ◽  
Guang Yang ◽  
...  

Abstract Background The mammalian testis is an important male exocrine gland and spermatozoa-producing organ that usually lies in extra-abdominal scrotums to provide a cooler environment for spermatogenesis and sperm storage. Testicles sometimes fail to descend, leading to cryptorchidism. However, certain groups of mammals possess inherently ascrotal testes (i.e. testes that do not descend completely or at all) that have the same physiological functions as completely descended scrotal testes. Although several anatomical and hormonal factors involved in testicular descent have been studied, there is still a paucity of comprehensive research on the genetic mechanisms underlying the evolution of testicular descent in mammals and how mammals with ascrotal testes maintain their reproductive health. Results We performed integrative phenotypic and comparative genomic analyses of 380 cryptorchidism-related genes and found that the mammalian ascrotal testes trait is derived from an ancestral scrotal state. Rapidly evolving genes in ascrotal mammals were enriched in the Hedgehog pathway—which regulates Leydig cell differentiation and testosterone secretion—and muscle development. Moreover, some cryptorchidism-related genes in ascrotal mammals had undergone positive selection and contained specific mutations and indels. Genes harboring convergent/parallel amino acid substitutions between ascrotal mammals were enriched in GTPase functions. Conclusions Our results suggest that the scrotal testis is an ancestral state in mammals, and the ascrotal phenotype was derived multiple times in independent lineages. In addition, the adaptive evolution of genes involved in testicular descent and the development of the gubernaculum contributed to the evolution of ascrotal testes. Accurate DNA replication, the proper segregation of genetic material, and appropriate autophagy are the potential mechanisms for maintaining physiological normality during spermatogenesis in ascrotal mammals. Furthermore, the molecular convergence of GTPases is probably a mechanism in the ascrotal testes of different mammals. This study provides novel insights into the evolution of the testis and scrotum in mammals and contributes to a better understanding of the pathogenesis of cryptorchidism in humans.


1970 ◽  
Vol 18 (2) ◽  
pp. 131-133 ◽  
Author(s):  
MM Haque ◽  
AB Siddique ◽  
ABMG Rabbani ◽  
MA Quasem ◽  
AKMG Rahman ◽  
...  

A mass in the lower abdomen in a sexually active man with a cryptorchid testis strongly points towards the diagnosis of malignancy in the abdominal testis.1 The incidence of testicular tumor is 11 times more in inguinal testes and 50 times more in intra abdominal testes. 2 Normally, the testes, which are inside the abdomen during gestation, migrate into the scrotum by the time of birth. Occasionally, boys are born with testes that are still in the abdomen or in the groin, not having completed their journey to the scrotum. These undescended testes are at high risk of cancer and should be moved into the scrotum at an early age or removed entirely.   doi: 10.3329/taj.v18i2.3194 TAJ 2005; 18(2): 131-133


2018 ◽  
Vol 24 (3) ◽  
pp. 206-211 ◽  
Author(s):  
O.H. Ekwunife ◽  
J.O. Ugwu ◽  
C. Onwurah ◽  
C.C. Okoli ◽  
L.K. Epundu

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