Bilateral abdominal cryptorchidism in males: autotransplantation of the testis

5 patients with bilateral abdominal cryptorchidism are reported. Orthotopic autotransplantation of the right testis was performed in 4 cases and both testes in 1 case. Testicular vessels were anastomosed end-to-end with the inferior epigastric vessels. The ischemic testes were cooled to 20 degrees C. The vas was mobilized intact. We discuss the expediency of this organ-preserving operation, the type of vascular anastomosis and the use of local hypothermia.