The testis descends in two phases. Animal studies suggest, that the transabdominal descent of the testis depends on the insulin-like hormone 3 (INSL3). Androgens are important in the inguinoscrotal testicular descent in animals and humans. In general, the cause of cryptorchidism is unknown and the aetiology is possibly multifactorial. Histological changes in cryptorchid testes demonstrate disturbed development.Conclusion: Since testicular descent is regulated by testis-derived hormones, cryptorchidism may reflect a functional defect of the testis.
INTRODUCTIONCryptorchidism, i.e. undescended testis, is a common abnormality in newborn boys, and recent prospective studies have described rates of 2-8% among full term boys (reviewed in Ref. 1). Undescended testis is associated with adverse effects on male reproductive health, i.e. a 4-5-fold increased risk of testicular cancer and a risk of infertility (1-3). Here we review current opinions of the fetal and neonatal development of the testis, mechanism of testicular descent, and abnormalities of these processes in cryptorchidism.