Retained Undescended Testis in a 51-Year-old “Anorchic” Man: The Implications of Endocrine Evaluation in the Adult Male With Impalpable Testes

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.