Paeds - undescended testes Flashcards
1
Q
Describe the normal descent of the testes (embryologically)?
A
Testes develop in the abdomen
Migrate down, through the inguinal canal into the scrotum.
(should i go into more detail - go over proper embryology)
2
Q
What is cryptorchidism?
A
Undescended testes
3
Q
What are risk factors for cryptorchidism?
A
Family history of undescended testes Low birth weight Small for gestational age Prematurity Maternal smoking during pregnancy
4
Q
What are some complications of cryptorchidism?
A
At puberty there is a higher risk of
- testicular torsion
- infertility
- testicular cancer
5
Q
How is cryptorchordism managed?
A
Watch in first 6 months as often descend themselves.
After 6 months refer to a urologist.
Orchidopexy (surgical correction) should be done between 6 + 12 months of age
6
Q
What is orchidopexy?
A
The surgery involved in correcting undescended testes.