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A developmental anomaly in which one or both testicles vanish during embryogenesis in patients with XY karyotype
Usually sporadic with rare familial instances with recessive trait
Unclear etiology, possibly regression of the testes in utero due to a genetic mutation, a teratogen, intrinsic gonadal disorders, infection, trauma, late antenatal or perinatal vascular thrombosis, torsion, or prenatal hormone induced atrophy resulting from overproduction of androgens
Incidence of monorchidism: 1/5000 males; 4.5% in patients with cryptorchidism; 40% when the testis is impalpable on physical examination
Incidence of bilateral anorchidism: 1/20,000 males
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