Undescended Testis (retractile testes)

Question 1

Undescended Testis aka?

Answer 1

cryptorchidism

Question 2

cryptorchidism etymology?

Answer 2

Crypto – hidden

Orchid – testicle

Question 3

cryptorchidism occurs in how many neonates? (%)

Answer 3

3%

Question 4

how many 1 yr olds will have cryptorchidism? (%)

Answer 4

1%

Question 5

for most neonates born with undescended testes what will happen to their testes?

Answer 5

drop within 1st 6 months

Question 6

biggest RF for cryptorchidism?

Answer 6

pre-term

Question 7

how many cases are bilateral? (%)

Answer 7

25%

Question 8

surgical sieve cryptorchidism?

-1

Answer 8

idiopathic

Question 9

when should testes normally drop?

Answer 9

1st trimester

Question 10

through what structures should testes normally drop?

Answer 10

inguinal canal

Question 11

for undescended testis, where are the testis usually stuck?

Answer 11

superficial inguinal pouch

Question 12

Complications of undescended testis?

-3

Answer 12

infertility
torsion ⚠
testicular cancer

Question 13

define cryptorchidism ?

Answer 13

testes not in scrotum

Question 14

define monorchism

Answer 14

only have one testicle

Question 15

mainstay Mx for most unilateral undescended testes?

Answer 15

orchidopexy

Question 16

orchidopexy is done wat what age?

Answer 16

1

Question 17

neonate has undescended testes, at what age should they be referred to urological surgeon>?

Answer 17

3 months

Question 18

if testes are impalpable,
what is the Ix of choice to find where they are?

why do you need find to where testes are?

Answer 18

Laparoscopy

tells you what surgery is needed

Question 19

neonate born with bilateral undescended testis.

what needs to be done?

why?

Answer 19

Paeds needs to review within 24 hours

may need urgent endocrine or genetic Ix

Question 20

Orchidopexy etymology?

Answer 20

Orchi – testicle

Pexy – fixing

Question 21

what is done in an orchidopexy?

Answer 21

Incision into inguinal canal and scrotum and

then testes pull through

Question 22

cryptorchidism should not be confused with what other condition?
(easy differential to confuse basically)

Answer 22

Retractable Testes

Question 23

how can retractable testes be differentiated from cryptorchidism?

Answer 23

retractable testes = can be massaged back into the scrotum but then retract back into the inguinal canal

Question 24

do retractable testes need surgery?

Answer 24

no, resolves by self

Question 25

why do retractable testes happen?

Answer 25

cremasteric muscle is too tight

Question 26

parents may note what helps testes fall back into scrotum?

why?

Answer 26

warm bath

relaxes the muscle

Question 27

mainstay Mx for most unilateral undescended testes?

Answer 27

orchidopexy