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The role of the gubernaculum in the descent and undescent of the testis
Therapeutic Advances in Urology, 06/30/09
Hutson JM et al. - Testicular descent to the scrotum involves complex anatomical rearrangements and hormonal regulation. The gubernaculum remains the key structure, undergoing the `swelling reaction' in the transabdominal phase, and actively migrating out of the abdominal wall to the scrotum in the inguinoscrotal phase. Acquired cryptorchid testes may need orchidopexy once they no longer reach the scrotum, although this remains controversial.
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