Undescended Testis

Question 1

Undescended testis occur in what percentage of newborn term males?

Answer 1

2-4%

Question 2

What does preterm have to do with undescended testis?

Answer 2

They are more common in preterms.

Question 3

What percentage of cases are bilateral?

Answer 3

25%

Question 4

What are some complications of undescended testis?

Answer 4

• Infertility
• Torsion
• Testicular cancer
• Psychological

Question 5

What is the primary care management of unilateral undescended testis?

Answer 5

• At birth — arrange review at 6–8 weeks of age.
• At 6–8 weeks of age: -re-examine at 3 months of age if still present.
• At 3 months of age:
  
  • Retractile testicle - annual follow up throughout childhood to check for ascent.
  • Undescended, refer the child to be seen by an appropriate paediatric surgeon, ideally before 6 months of age.

Question 6

How are undescended testes managed surgically and at what age is the surgery done.?

Answer 6

Orchidopexy

Surgical practices vary although the majority of procedures are performed at around 1 year of age

Question 7

What is the management of bilateral undescended testes?

Answer 7

Urgently refer to a senior paediatrician within 24 hours (ideally within a tertiary children’s unit with a specialist disorders of sexual development service) as the child may need urgent endocrine or genetic investigation.

But if endocrine or genetic problem already excluded, manage as per unilateral undescended testes.