Skip to main content

Cryptorchidie acquise, testicule oscillant et autres formes secondaires de cryptorchidie

Ascended testis, retractile testis and other secondary forms of cryptorchidism


Si la plus grande partie des cryptorchidies est liée à une anomalie de migration testiculaire pendant la période fœtale, il existe de multiples formes secondaires. Elles sont représentées par la cryptorchidie associée à une pathologie générale, la cryptorchidie acquise, le testicule oscillant et les formes iatrogènes. Il est important de connaître et de diagnostiquer ces formes, car des lésions histologiques du testicule sont retrouvées dans toutes les situations dans lesquelles le testicule est resté, de façon prolongée, en dehors de la bourse.


Most of cryptorchidisms are due to failure in testicular descent during fetal life, but secondary forms of cryptorchidism exist. They are represented by cryptorchidism associated to general disease, ascended testis, retractile testis and iatrogenic forms. It is important to know and diagnose these forms, because histological lesions are present in any testis which stayed out of scrotum for a prolonged period.


  1. Berger AP, Hager J (2006) Management of neonates with large abdominal wall defects and undescended testis. Urology 68:175–8

    Article  PubMed  Google Scholar 

  2. Hutson JM (2006) Undescended testes. In: Stringer M, Oldham K, Mouriquand P (eds) Pediatric surgery and urology: long-term outcomes. Cambridge University Press, pp 652–63

  3. Harper L, Michel JL, de Napoli-Cocci S (2010) Should we perform orchidopexy for cryptorchidism in children with severe encephalopathy? J Pediatr Urol 6:274–6

    Article  PubMed  CAS  Google Scholar 

  4. Atwell JD (1985) Ascent of the testis. Fact or fiction. Br J Urol 57:474–7

    Article  PubMed  CAS  Google Scholar 

  5. Hack WW, Meijer RW, van der Voort-Doedens LM, et al (2003) Natural course of acquired undescended testis in boys. Br J Surg 90:728–31

    Article  PubMed  CAS  Google Scholar 

  6. Martin JD (2006) Further evidence for acquired undescended testicle in the UK and its incompatibility with current recommendations in the hall report. J Pediatr Urol 2:392–7

    Article  PubMed  CAS  Google Scholar 

  7. Clarnette TD, Rowe D, Hasthorpe S, Hutson JM (1997) Incomplete disappearance of the processus vaginalis as a cause of ascending testis. J Urol 157:1889–91

    Article  PubMed  CAS  Google Scholar 

  8. Clarnette TD, Hutson JM (1997) Is the ascending testis actually “stationary”? Normal elongation of the spermatic cord is prevented by a fibrous remnant of the processus vaginalis. Pediatr Surg Int 12:155–7

    Article  CAS  Google Scholar 

  9. Rusnack SL, Wu HY, Huff DS, et al (2002) The ascending testis and the testis undescended since birth share the same histopathology. J Urol 168:2590–1

    Article  PubMed  Google Scholar 

  10. Myers NA, Officer CB (1975) Undescended testis: congenital or acquired? Aust Pediatr J 11(2):76–8

    CAS  Google Scholar 

  11. McCabe JE, Kenny SE (2008) Orchidopexy for undescended testis in England: is it evidence based? J Pediatr Surg 43:353–7

    Article  PubMed  Google Scholar 

  12. Mayr JM, Rune GM, Holas A, et al (1995) Ascent of the testis in children. Eur J Pediatr 154:893–5

    Article  PubMed  CAS  Google Scholar 

  13. Bianchi A, Squire BR (1989) Transcrotal orchidopexy: orchidopexy revised. Pediatr Surg Int 4:189–92

    Article  Google Scholar 

  14. Meijer RW, Hack WW, Haasnoot K (2001) Successful treatment of acquired undescended testes with human chorionic gonadotropin. Eur J Pediatr 160:66–7

    Article  PubMed  CAS  Google Scholar 

  15. Stec AA, Thomas JC, DeMarco RT, et al (2007) Incidence of testicular ascent in boys with retractile testes. J Urol 178:1722–4

    Article  PubMed  Google Scholar 

  16. Lee PA (1993) Fertility in cryptorchidism. Does treatment make a difference? Endocrinol Metab Clin North Am 22:479–90

    PubMed  CAS  Google Scholar 

  17. Caucci M, Barbatelli G, Cinti S (1997) The retractile testis can be a cause of adult infertility. Fertil Steril 68:1051–8

    Article  PubMed  CAS  Google Scholar 

  18. Eardley I, Saw KC, Whitaker RH (1994) Surgical outcome of orchidopexy II. Trapped and ascending testes. Br J Urol 73:204–6

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to E. Dobremez.

Rights and permissions

Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution License ( ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Reprints and Permissions

About this article

Cite this article

Dobremez, E., Harper, L. Cryptorchidie acquise, testicule oscillant et autres formes secondaires de cryptorchidie. Basic Clin. Androl. 20, 190–193 (2010).

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI:

Mots clés