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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'.
During normal development, testes form in the retroperitoneum, the back part of the abdomen, and subsequently descend through the inguinal canal into the scrotum. Diagnosing undescended testicles involves a physical examination. If the testis cannot be felt, it is categorized as "non-palpable."
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.
In this case the testis is within the abdominal cavity, somewhere along the normal route of descent – most commonly, within the inguinal canal. Such a testis has an increased risk of malignancy . One testicle may disappear during development (the so-called vanishing testis ) due to some intrauterine insult.
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.
In cryptorchidism a diagnosis is made from a physical examination which is performed when the baby is lacking one or both testes in the dependant portion of the scrotal sac. [15] 70% of cryptorchid testes can be felt and are unable to be pulled into the scrotum or retreats quickly after being pulled into a higher position. In 30% of cases the ...
The tubuli seminiferi recti (also known as the tubuli recti, tubulus rectus, or straight seminiferous tubules) are structures in the testicle connecting the convoluted region of the seminiferous tubules to the rete testis, although the tubuli recti have a different appearance distinguishing them from these two structures.
There are two types: convoluted and straight, convoluted toward the lateral side, and straight as the tubule comes medially to form ducts that will exit the testis. The seminiferous tubules are formed from the testis cords that develop from the primitive gonadal cords , formed from the gonadal ridge .