Undescended Testes, It’s Impact On Male Fertility

Prospective study has been done in pediatric surgical unit. InZagazig University hospitals. Including 40 boys with undescendedtestes. Cases will include undescended testes of different types (intraabdominal, intra canalicular, unilateral and bilateral cases). And atC different age groups during infancy and early childhood. For eachboy. Clinical examination by experienced pediatric surgeon. U.S. formeasurement, localization and associated urogenital anomalies.Blood samples for F.S.H.., LH and testosterone level. Orchiopexy[surgical or laparoscopic[done at. The age of 8 months asrecommended by 4th international symposium on pediatricsandrolongy, 2001). Some infants at earlier age group if indicated ascases associated with clinically manifested congenital hernia.Children of different age groups, presented at older age for first time.Testicular biopsy: will be taken at the time of orchiopexy forundescended testes and contra lateral descended testes. Biopsies willbe fixed in 2% gluteraldhyde in phosphate buffer embedded inEpoin. Sectioned at O.4um and stained with toulindine blue,Histomorphometric analysis was performed by light microscopy.ITesticular biopsy will be taken for some cases of Redo-orchiopexyafter unsuccessful orchiopexy or during second stage orchiopexy instaged orchiopexy. Spermatic index of each boy will be defined andevaluated according to the criteria suggested by (Hadziselomovic etal 2001) as follows.