Testis homotransplantation has been carried out in 11 patients since 1
986. Of them, 8 suffered from congenital testicular dysplasia and the
other 3 from orchiatrophy as a result of orchitis. Preoperatively, man
ifestations were a small penis, small testes, sexual dysfunction, indi
stinct secondary sex characteristics and low serum testosterone (1.7-7
.35 mmol / L). Three cases had cadaver transplants and 8 had living re
latives' transplants. The patients were followed up for 7 monthes to 4
years. The secondary sex characteristics and sexual function were imp
roved remarkably after transplantation. Serum testosterone increased u
p to 12.8-18.2 mmol / L. All of 5 married patients resumed sexual inte
rcourse satisfactorily. Three others got married after transplantation
and have enjoyed normal sexual functions. Spermatozoa have been found
in the semen in 3 of the cases.