Combined Anomalies 2 (Cryptorchidism)

Operative findings in a toddler with right cryptorchidism. Below, the testis, and above, the epididymis is visible. The distance between the two organs is twice the width of the testis corresponding to 1.5 to 2.0 cm. This anomaly is called testicular-epididymal fusion abnormality. The sperm which is produced later in life has no connection to the epididymis and spermatic cord. The latter may be interrupted, too, as an additional combined malformation. Both anomalies may be detrimental to the fertility which is often already diminished by the cryptorchidism, and must be described in the protocol of the surgeon.