Undescended Testis (retractile testes) Flashcards
Undescended Testis aka?
cryptorchidism
cryptorchidism etymology?
Crypto – hidden
Orchid – testicle
cryptorchidism occurs in how many neonates? (%)
3%
how many 1 yr olds will have cryptorchidism? (%)
1%
for most neonates born with undescended testes what will happen to their testes?
drop within 1st 6 months
biggest RF for cryptorchidism?
pre-term
how many cases are bilateral? (%)
25%
surgical sieve cryptorchidism?
-1
idiopathic
when should testes normally drop?
1st trimester
through what structures should testes normally drop?
inguinal canal
for undescended testis, where are the testis usually stuck?
superficial inguinal pouch
Complications of undescended testis?
-3
infertility
torsion ⚠
testicular cancer
define cryptorchidism ?
testes not in scrotum
define monorchism
only have one testicle
mainstay Mx for most unilateral undescended testes?
orchidopexy
orchidopexy is done wat what age?
1
neonate has undescended testes, at what age should they be referred to urological surgeon>?
3 months
if testes are impalpable,
what is the Ix of choice to find where they are?
why do you need find to where testes are?
Laparoscopy
tells you what surgery is needed
neonate born with bilateral undescended testis.
what needs to be done?
why?
Paeds needs to review within 24 hours
may need urgent endocrine or genetic Ix
Orchidopexy etymology?
Orchi – testicle
Pexy – fixing
what is done in an orchidopexy?
Incision into inguinal canal and scrotum and
then testes pull through
cryptorchidism should not be confused with what other condition?
(easy differential to confuse basically)
Retractable Testes
how can retractable testes be differentiated from cryptorchidism?
retractable testes = can be massaged back into the scrotum but then retract back into the inguinal canal
do retractable testes need surgery?
no, resolves by self
