Posted by Bjorn L on August 03, 1999 at 14:52:37:
In Reply to: Undescended Testes posted by CLDing on July 26, 1999 at 11:38:14:
Sorry, I've been lazy lately - we are having a heat wave in Sweden, and luckily enough it's my vacation.
This patient, provided that it could be documented that an orchidopexy was really done, i.e. there were testicles to operate on, is very likely since he had very delayed (= too late) surgery, to be hypogonadal, and to have a possibly complete atrophy of the testicles. Is there any note of the size of the organs being operated on?
Any way I would have a total testosterone, an SHBG, FSH and LH and a chromosomal analysis on a patient like this. If US can't reveal any organ in the scrotum there is little point in searching for them.
Azoospermia under these circumstances would be expected.
If he has an elevated FSH, of which I am 99% sure, he is likely to have or be on the verge of having a low testosterone - which within the next 10 - 15 years would put him at high risk for osteoporosis.
This is not an unusual type of patient in my office. The solution for the infertility is often the hardest part to manage - since there is usuallly no cure - in Sweden this means adoption, or possibly AID.