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Cryptorchidism

Pamela Ellsworth, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Incomplete or improper descent of one or both testicles; also called undescended testes (1)

  • Normally, descent is in the 7th to 8th month of gestation. The cryptorchid testis may be pa...

DIAGNOSIS

HISTORY

  • ≥1 testicles in a site other than the scrotum

  • May be an isolated defect or associated with other congenital anomalies

PHYSICAL EXAM

  • Performed with warm hands, with child in sitting, stan...

TREATMENT

GENERAL MEASURES

  • Rule out retractile testis.

  • Appropriate health care: outpatient until surgery is performed

  • Administration of chorionic gonadotropin may cause testicular descent in some boys. R...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • Initial follow-up within 1 month of surgery and periodically thereafter to assess testicular size/growth

  • Patients with retractile testes should be examined at leas...

REFERENCES

1
1 Kolon TF, Herndon CDA, Baker LA, et al. Evaluation and treatment of cryptorchidism. https://www.auanet.org/education/guidelines/cryptorchidism.cfm. Accessed October 3, 2017.
2
2 Sijsterman...

ADDITIONAL READING

  • Agarwal PK, Diaz M, Elder JS. Retractile testis—is it really a normal variant? J Urol.  2006;175(4):1496–1499. {L-End} {L-End} [View Abstract on OvidMedline]

  • Al-Mandil M, Kho...

CODES

ICD10

  • Q53.9 Undescended testicle, unspecified

  • Q53.10 Unspecified undescended testicle, unilateral

  • Q53.20 Undescended testicle, unspecified, bilateral

  • Q53.11 Abdominal testis, unilateral

  • Q53.21 Abdomi...

CLINICAL PEARLS

  • If testicular descent does not occur by 6 months of age, it is unlikely to occur. Therefore, refer patients to a specialist if a testis has not descended by 6 months of age.

  • Children wi...

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