[Obscurity still exists with regard to the policy in undescended testes: early operation versus well-underpinned wait-and-see policy].

The frequency of orchidopexy in the Netherlands is higher than the frequency of genuine undescended testes in spite of an existing consensus guideline on the subject. Evidence that orchidopexy has a positive effect on fertility or the decrease of testicular malignancy is lacking. Clinical trials are necessary to answer the question whether orchidopexy before the age of 2 years prevents malignancy or improves fertility. It is important that research that shows no results of early orchidopexy is also published. A public health approach is necessary to prevent unnecessary surgical interventions.