Undescended testis

Summary: Paediatric urological referral indicated

Advice: Paediatric urological referral for orchidopexy is indicated in children; adults should be referred for consideration of orchidectomy to reduce the risk of malignancy
Refer To: Paediatric urologists (or any adult urologist for adults)

Contents:

Clinical information

The available evidence suggests that orchidopexy should certainly be performed before the age of school entry, and probably before the age of 2 years, to preserve testicular function

The differential diagnosis includes retractile testis. If in doubt about the nature of a retractile testis, please seek advice from the Paediatric Urologists

Undescended testis in an adult is usually an indication for removal of the testis, especially if it is intra-abdominal. Ultrasound of the groin is a reliable means of detecting an ectopic or maldescended testis in an adult

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