Undescended_Testes_Flashcards
What should be done if there is a possibility of disorder of sexual development in a child under 3 months with undescended testes?
Urgently refer to a senior paediatrician within 24 hours as genetic or endocrine testing may be necessary.
What should be done if a child under 3 months has bilateral undescended testes at birth?
Urgently refer to a senior paediatrician within 24 hours as genetic or endocrine testing may be necessary.
What is the recommended action if bilateral undescended testes are observed at 6-8 weeks?
Urgent referral to a paediatrician within 2 weeks.
What is the follow-up schedule for unilateral undescended testis observed at birth?
Arrange a review at 6-8 weeks.
What is the next step if a unilateral undescended testis is still present at 6-8 weeks?
Re-examine at 4-5 months.
What should be done if a unilateral undescended testis is still undescended at 4-5 months?
Refer the child to a paediatric surgeon by 6 months of age.
When should a child with an undescended testis be referred for surgical evaluation?
If undescended by 4-5 months, refer to paediatric surgery before 6 months for consideration of orchidopexy.
What is the management for undescended palpable testis?
Orchidopexy is performed for undescended palpable testis.
Why is orchidopexy performed for an undescended palpable testis?
Orchidopexy is performed for cosmetic reasons, reduced risk of trauma and torsion, fertility (particularly important if bilateral), and malignancy (increased risk in an undescended testis).
What is the management for undescended non-palpable testis?
Laparoscopic inguinal surgical exploration with subsequent orchidopexy or orchidectomy.
By what age should orchidolysis be performed for undescended non-palpable testis?
By 12 months.
By what age should orchidopexy be performed for undescended non-palpable testis?
By 18 months.
What percentage of impalpable testis have regressed in development and are absent?
10% of impalpable testis have regressed in development and are absent.
What is the summary recommendation for a child with undescended testis by 4-5 months?
If undescended by 4-5 months, refer to paediatric surgery before 6 months for consideration of orchidopexy.
