Cryptorchidism Flashcards
At what point in development do the testis descend
Between 8 weeks and full term
Where do the testis develop during organogenesis
the fetal abdomen
Through what structures do the testis descend during fetal development
Each testis descends from the abdomen into the inguinal canal through the deep inguinal ring. Each testis then passes anteromedially through the canal and enters the scrotum via the superficial inguinal ring
Through what structure do the testis enter the scrotum
The superficial inguinal ring
The superficial inguinal ring is a
physiologic opening in the external oblique muscle aponeurosis above the pubic tubercle.
The deep inguinal ring is
an opening in the transversalis fascia bounded laterally by the transversus abdominis muscle and medially by the inferior epigastric vessels.
The deep inguinal ring is an opening in the transversalis fascia bounded laterally by
the transversus abdominis muscle
The deep inguinal ring is an opening in the transversalis fascia bounded medially by the
inferior epigastric vessels
Cryptorchidism is
the failure of one or both testes to descend to the scrotum before birth.
Cryptorchidism occurs more commonly in
preterm neonates
Cryptorchidism is associated with a
significantly increased risk of testicular cancer and infertility
A testis that is palpable in the inguinal canal typically
descends spontaneously by age 6 months
Testes that have not descended by 6 months of age require
surgical intervention
Surgical repair of an undescended testicle lodged in the inguinal canal involves
moving the testis through the superficial inguinal ring and fixing it in the scrotum.
The superficial and deep inguinal rings are
physiologic openings in the external abdominal oblique aponeurosis and the transverse fascia respectively.