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. 1.

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

  2. 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. 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

  4. 4.

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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 10.

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

  11. 11.

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

  12. 12.

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

  13. 13.

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

  14. 14.

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

  15. 15.

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

  16. 16.

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

  17. 17.

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

  18. 18.

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

Download references

Author information

Correspondence to E. Dobremez.

Rights and permissions

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

Mots clés

  • Cryptorchidie acquise
  • Testicule oscillant
  • Fertilité


  • Ascended testis
  • Retractile testis
  • Fertility