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Cryptorchidism, also known as undescended testis, is the failure of one or both testes to descend into the scrotum. The word is from Ancient Greek κρυπτός (kryptos) 'hidden' and ὄρχις (orchis) 'testicle'. It is the most common birth defect of the male genital tract. [1]
Classical Roman law, that is Roman law until the end of the second century AD, did not contain the unus testis-rule according to current scholarly understanding, even though D. 22.5.12 [γ] – a passage of the Digest attributed to the early 3rd century Roman jurist Ulpian – had historically been understood as evidence for the existence of such a rule during this period.
The appendix testis is a Müllerian duct remnant and consists of fibrous tissue and blood vessels within an envelope of columnar epithelium. The appendix testis is attached to the upper pole of the testis and found in the groove between the testis and the epididymis. The appendix epididymis is attached to the head of the epididymis.
This is attached to the testis and extends through the inguinal canal to the wall of the scrotum as a testis. It carries with it the ductus deference, which are testicular vessels and nerves, a portion of the abdominal muscle, and lymph vessels. All of the structures remain attached to the testis and form what is known as the spermatic cord.
One testicle not descending into the scrotum during normal embryonic or fetal development (3–4% of 'normal' live births), also known as undescended testis or cryptorchidism. In this case the testis is within the abdominal cavity, somewhere along the normal route of descent – most commonly, within the inguinal canal .
The descent of the testicles consists of the opening of a connection from the testis to its final location at the anterior abdominal wall, followed by the development of the gubernaculum, which subsequently pulls and translocates the testicle down into the developing scrotum. Ultimately, the passageway closes behind the testis.
The ectopic testis can be in the perineal region, the opposite side of the scrotum, the suprapubic region, the femoral region, or the superficial inguinal pouch. [1]The ectopic testis is initially normal, but if it is ignored after childhood, it may become small and soft, with spermatogenesis arresting and interstitial cell proliferation occurring.
The septa testis are fibrous partitions of the testis dividing the testis into compartments - the lobules of the testis. The septa are formed by extensions of the tunica albuginea - the dense fibrous connective tissue surface covering of the testis - into the substance of the testis. The septa converge towards the mediastinum testis. [1]