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Cryptorchidism, Pediatric

Hsi-Yang Wu, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

Cryptorchidism is a condition characterized by one or both testes being undescended. An undescended testis does not remain at the bottom of the scrotum after the cremaster muscle has...

DIAGNOSIS

HISTORY

  • Exogenous maternal hormones (e.g., those used in infertility treatment)

  • Maternal oral contraceptive use

  • Consanguinity

  • Family history of urologic abnormalities or neonatal deaths

  • Prematuri...

TREATMENT

GENERAL MEASURES

  • Patients with undescended testes should be referred for surgical evaluation no later than 3 months of age.

  • Hormonal therapy

    • For many years hormonal therapy was widely used in E...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

After successful orchiopexy, patients are examined at 6 to 12 months to check on testicular size and position. They are rechecked at puberty to ...

ADDITIONAL READING

  • Barthold JS, Wang Y, Kolon TF, et al. Pathway analysis supports association of nonsyndromic cryptorchidism with genetic loci linked to cytoskeleton-dependent functions. Hum Reprod. ...

CODES

ICD9

752.51 Undescended testis 

ICD10

  • Q53.9 Undescended testicle, unspecified

  • Q53.10 Unspecified undescended testicle, unilateral

  • Q53.20 Undescended testicle, unspecified, bilateral

  • Q53.11 Abdominal t...

FAQ

  • Q: If there is only one testicle in the scrotum, will fertility be affected?

  • A: In general, the outlook for paternity is good in a patient with only one descended testicle. Paternity is more signif...

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