Genital Disorders: Undescended Testis Flashcards
They occur in what percentage of term infants?
5%
More they more or less common in premature infants?
More common
When is the diagnosis usually made?
The routine examination of the newborn
By 3 months of age, only what percentage are undescended?
1%
Where is a palpable undescended testis usually felt?
In the groin
Occasionally below the external inguinal ring but outside scrotum
If there are bilateral impalpable testes, what must be established?
The karyotype - check for disorders of sex development
= medical emergency
How should the infant be examined?
In a warm environment
What percentage of cases are bilateral?
25%
What complications can occur?
Infertility
Torsion
Testicular cancer risk increased
Psychological
What does it mean if the testis is retractile?
Can be manipulated back into scrotum with ease
Testis more obvious when child in warm environment
Why can fertility be effected if surgery is delayed (especially if bilateral)?
Testis need to be in scrotum below body temperature in order for spermatogenesis to occur
When should orchidoplexy be done?
Before or around 1 year of age
After this spontaneous descent unlikely
