The morphology of the human undescended testis with special reference to the Sertoli cell and puberty

The morphology of the undescended testis was studied in 50 boys aged 1-15 years. A low mean number of spermatogonia was found, but there were marked differences between the boys, some having high numbers whereas others were devoid of spermatogonia. Most Sertoli cells did not undergo normal maturation during puberty, but instead seemed to proliferate at a slow rate. It is concluded that treatment of undescended testes should be performed during the prepubertal period. It is also suggested that some undescended testes have a primary defect whereas others are damaged during the onset of puberty.