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Undescended testes (Complications (Infertility
Mladescended/ectopic,…
Undescended testes
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Pathophysiology
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Ectopic testis
Usually superior inguinal pouch, can be abdominal, peritoneal, penile etc.
Management
Conservative
Information, advice, support
Follow up at 1y (re-check testes)
Surgical
Orchidoplexy
Indication: <10y if cryptorchidism
(maldescended/ectopic)
MOA: dartos pouch procedure where PV removed,
testicle brought into scrotum, dartos muscle prevents retraction
Medical
Hormone therapy
Indication: testis located in inguinal canal
E.g. HCG
MOA: encourages descention into scrotum
Epidemiology
3% boys at birth, 1% by 1y
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Diagnosis
Examination
Neonatal exam
Absent testes (cryptorchidism),
retractile (can be encouraged into scrotum)
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History
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POH
Scans, bloods, growth, gestation (premature),
delivery, weight, complications
FH
Cryptorchidism, congenitial diseases
PC/HPC
Asymptomatic, absent testes
SH
Living arrangements, school/nursery
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Definition
Congenital developmental
disorder where testis fails
to locate in the scrotum by
or shortly after birth
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