Undescended Testes

Undescended Testes


UNDESCENDED TESTES

  • Incidence: In premature infants: 30%; In full term infants: 4%; At 3 months- 2%
  • Testis absent from scrotum after 3 months of age are unlikely to descent fully
  • Incompletely descended testis tends to atrophy as puberty approaches
  • More common on the right side(50%) and 20% cases are bilateral (cryptorchidism)
  • Secondary sexual characters are normal 

Etiology

  • Gubernacular dysfunction
  • Lack of gonadotropins [HCG]
  • Lack of CGRP –calcitonin gene related peptide
  • Prune Belly syndrome
  • Familial 

Complications

  • Torsion
  • Epididymo-orchitis(may mimic appendicitis)
  • Sterility (in bilateral cases, especially- intraabdominal testis)
  • Indirect Inguinal hernia
  • Increased liability to malignant disease
  • Atrophy 

Treatment

  • Orchidopexy is usually done before 6 months of age
  • Orchidectomy: if the incompletely descended testis is atrophic, if patient is past puberty & other testis is normal
  • In bilateral cases, testis is passed into the opposite scrotum through an opening in the scrotal septum – Ombredanne’s operation
  • HCG or GnRH can be given when cryptorchidism is associated with hypogenitalism and obesity
Exam Question
 
  • Orchidopexy is usually done before 6 months of age
  • Orchidectomy: if the incompletely descended testis is atrophic, if patient is past puberty & other testis is normal
  • In bilateral cases, testis is passed into the opposite scrotum through an opening in the scrotal septum – Ombredanne’s operation
  • HCG or GnRH can be given when cryptorchidism is associated with hypogenitalism and obesity
Don’t Forget to Solve all the previous Year Question asked on Undescended Testes

Leave a Reply

Free Mini Course on Stomach

Mini Course – Stomach

22 High Yield Topics in Stomach

in Just 2 Hours

Submission received, thank you!

Close Window
%d bloggers like this:
Malcare WordPress Security