In Reply.—Perhaps Dr Ushkow is somewhat overstating the case of exclusion from sport participation because of absence of one testicle. The Sports Medicine Committee nearly 20 years ago stated that the absence of one of any of the paired organs should raise questions regarding the participation in collision sports. This included absence of an eye, lung, kidney, or testicle and the sports such as American football, ice hockey, wrestling, and lacrosse. Since that time, epidemiologic studies of sport injuries, clinical experience, and in many ways a changing sport scene have combined to prompt most physicians to avoid excluding sport participation for individuals missing one of the paired organs and to provide informed counsel to prospective athletes and their parents regarding risks, equipment for protection, and sport alternatives. In the presence of informed serious concern, early direction to appropriate noncollision sports is extremely important.
The appropriately counseled young athlete with