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1 Division of Pediatric Urology
and the Department of Medicine, the
Institute for Steroid Research and the
Clinical Research Center; Montefiore
Hospital and Medical Center; and the
Hospital of the Albert Einstein College of
Medicine, Bronx, New York
A 51-year-old man with previously diagnosed
bilateral anorchia was shown by endocrine investigation of his hypophyseal-gonadal axis to
have functioning testicular tissue. The implications of endocrine evaluation in adult males
who have impalpable testes, or those with
bilateral anorchia having undergone previous
exploratory surgery, are discussed, as is as an
organized diagnostic and surgical approach.
Key words: impalpable undescended testes,
anorchia, LHRH, hCG test, hypothalamic-pituitary axis.
Revised on June 15, 1981
Accepted on June 15, 1981
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