Learn About Anorchia

What is the definition of Anorchia?

Anorchia is the absence of both testes at birth.

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What are the alternative names for Anorchia?

Vanishing testes - anorchia; Empty scrotum - anorchia; Scrotum - empty (anorchia)

What are the causes of Anorchia?

The embryo develops early sex organs in the first several weeks of pregnancy. In some cases, early testes do not develop in males before 8 weeks into the pregnancy. These babies will be born with female sex organs.

In some cases, the testes disappear between 8 and 10 weeks. These babies will be born with ambiguous genitalia. This means the child will have parts of both male and female sex organs.

In some cases, the testes may disappear between 12 and 14 weeks. These babies will have normal penis and scrotum. However, they will not have any testes. This is known as congenital anorchia. It is also called the "vanishing testes syndrome."

The cause is unknown. Genetic factors may be involved in some cases.

This condition should not be confused with bilateral undescended testes, in which the testes are located in the abdomen or groin rather than the scrotum.

What are the symptoms of Anorchia?

Symptoms may include:

  • Normal outside genitals before puberty
  • Failure to start puberty at the correct time
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What are the current treatments for Anorchia?

Treatment includes:

  • Artificial (prosthetic) testicle implants
  • Male hormones (androgens)
  • Psychological support
Who are the top Anorchia Local Doctors?
Elite
Highly rated in
10
conditions

Faculty Of Medicine, Nursing And Health Sciences, Monash University

Melbourne, VIC, AU 

Ramesh Nataraja is in Melbourne, Australia. Nataraja is rated as an Elite expert by MediFind in the treatment of Anorchia. He is also highly rated in 10 other conditions, according to our data. His top areas of expertise are Anorchia, Appendicitis, Swyer Syndrome, and Intussusception in Children.

Distinguished
Highly rated in
1
conditions

The Center For Men's Health

Urologic Medical Center, Shanghai General Hospital, Shanghai Jiaotong University School Of Medicine 
Shanghai, CN 20008

Hui-xing Chen is in Shanghai, China. Chen is rated as a Distinguished expert by MediFind in the treatment of Anorchia. They are also highly rated in 1 other condition, according to our data. Their top areas of expertise are Anorchia, Varicocele, Swyer Syndrome, and Erectile Dysfunction.

 
 
 
 
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Distinguished
Highly rated in
37
conditions

University Hospital Of Copenhagen

Copenhagen, DK 

Anders Juul is in Copenhagen, Denmark. Juul is rated as a Distinguished expert by MediFind in the treatment of Anorchia. He is also highly rated in 37 other conditions, according to our data. His top areas of expertise are Intersex, Hypogonadism, Klinefelter Syndrome, and Testicular Failure.

What is the outlook (prognosis) for Anorchia?

The outlook is good with treatment.

What are the possible complications of Anorchia?

Complications include:

  • Face, neck, or back abnormalities in some cases
  • Infertility
  • Psychological issues due to gender identification
When should I contact a medical professional for Anorchia?

Call your health care provider if a male child:

  • Appears to have extremely small or absent testicles
  • Does not seem to be starting puberty during his early teens
Male reproductive anatomy
Male reproductive system
What are the latest Anorchia Clinical Trials?
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What are the Latest Advances for Anorchia?
Pubertal growth spurt in patients with bilateral anorchia after testosterone replacement therapy.
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Who are the sources who wrote this article ?

Published Date : August 10, 2020
Published By : Kelly L. Stratton, MD, FACS, Associate Professor, Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, OK. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

What are the references for this article ?

Ali O, Donohoue PA. Hypofunction of the testes. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 601.

Chan Y-M, Hannema SE, Achermann JC, Hughes IA. Disorders of sex development. In: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Textbook of Endocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020:chap 24.

Yu RN, Diamond DA. Disorders of sexual development: etiology, evaluation, and medical management. In: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 48.