Cryptorchidism (undescended testicle)


Description

Disorder occurs when one or both testicles fail to move down into the scrotum (the sac next to the penis) before birth. Cryptorchidism is also called undescended testicle. It occurs in 3% of male births. It is more common in premature births. Most cases resolve on their own, but at times surgery is needed.

Symptoms

There are usually no symptoms. Adult males with an undescended testicle may have problems with infertility. Also there is an increased risk of testicular cancer in an undescended testicle.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. Once the testicle is not felt in the scrotum additional tests may be needed to locate the testicle in the groin or abdomen.

Tests:
Magnetic resonance imaging (MRI), Ultrasound

Other Specific Tests: Laparoscopy, Surgery

Specialists:
Urology, Pediatrics, Family Practice

Treatment

The testicle usually moves down into the scrotum during the first year of life without treatment. Surgery is the usual treatment for a persistent undescended testicle. In some cases, hormone therapy may be tried.


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