Unidentified undescended testes in teenage boys with severe learning disabilities.

Nine boys of secondary school age were referred with undescended testes (UDT) to paediatric surgeons over a period of 8 years. All were referred from the same community paediatric clinic for children with severe learning disabilities. UDT cause concern because of a threefold increase in the incidence of cancer. Cosmesis and reduced fertility were seen as less relevant issues for these boys. The late identification and incidence of UDT are discussed. It is suggested that awareness of this issue should be raised and screening introduced. Advice is needed on the appropriate management of UDT in this group of boys.