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The role of the gubernaculum in the descent and undescent of the testis

Paediatric Surgery, Urology Department, Royal Children's Hospital, Parkville, Victoria, 3052 Australia, john.hutson{at}rch.org.au, Royal Children's Hospital, Melbourne, Australia, Murdoch Children's Research Institute, Melbourne, Australia, Department of Paediatrics, University of Melbourne, Australia

T. Nation

Royal Children's Hospital, Melbourne, Australia, Murdoch Children's Research Institute, Melbourne, Australia, Department of Paediatrics, University of Melbourne, Australia

A. Balic

Murdoch Children's Research Institute, Melbourne, Australia, Department of Paediatrics, University of Melbourne, Australia

B.R. Southwell

Murdoch Children's Research Institute, Melbourne, Australia, Department of Paediatrics, University of Melbourne, Australia

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. Insulin-like hormone 3 (Insl3) is the primary regulator of the first phase, possibly augmented by Müllerian inhibiting substance/anitmüllerian hormone (MIS/AMH), and regression of the cranial suspensory ligament by testosterone. The inguinoscrotal phase is controlled by androgens acting both directly on the gubernaculum and indirectly via the genitofemoral nerve, and release of calcitonin gene-related peptide from its sensory fibres. Outgrowth of the gubernaculum and elongation to the scrotum has many similarities to an embryonic limb bud.

Cryptorchidism occurs because of both failure of migration congenitally, and failure of elongation of the spermatic cord postnatally. Germ cell development postnatally is disturbed in congenital cryptorchidism, but our current understanding of germ cell biology suggests that early orchidopexy, around 6 months of age, should provide a significant improvement in prognosis compared with a previous generation. Hormone treatment is not currently recommended. Acquired cryptorchid testes may need orchidopexy once they no longer reach the scrotum, although this remains controversial.

Key Words: cryptorchidism • testis • testicular descent • gubernaculum • Insl3 • androgen • genitofemoral nerve • calcitonin gene-related peptide • orchidopexy.

This version was published on June 1, 2009

Therapeutic Advances in Urology, Vol. 1, No. 2, 115-121 (2009)
DOI: 10.1177/1756287209105266


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