Anorchidism Apr 2026
A failure in the development of the gubernaculum or vascular supply, leading to failure of the testis to survive descent. Symptoms and Clinical Presentation
The most accepted theory is that the testes were present during the first trimester of gestation—allowing normal male sexual differentiation—but were destroyed or reabsorbed later due to vascular accident. anorchidism
The primary sign is the inability to feel one or both testes in the scrotum. A failure in the development of the gubernaculum
Exploratory laparoscopy is the gold standard for diagnosis. It is used to scan the abdomen for blind-ending spermatic vessels and vas deferens (confirms testicular regression) or a hidden abdominal testis. Monorchidism or unilateral anorchidism - Springer Nature Exploratory laparoscopy is the gold standard for diagnosis
Serum Anti-Müllerian Hormone (AMH) levels are crucial markers. Undetectable or very low AMH indicates absence of testicular tissue.