Orchidopexy is done in cases of undescended testes at the age of
|B||1- 2 yrs|
The treatment of cryptorchidism has changed in recent years. A testis that has not descended into the scrotum by 1 year of age seldom descends spontaneously.
a. One or both testes may be absent from the scrotum at birth in about 20% of premature males and in 3-6% at full term.
b. Cryptorchidism is found in 1-2% of males after 1 year of age but must be distinguished from retractile testes, which require no treatment.
c. Cryptorchidism should be corrected between 6 month to 1yr in an attempt to reduce the risk of infertility, which occurs in up to 75% of men with bilateral cryptorchidism and in 50% with unilateral cryptorchidism.
d. If the testes are not palpable, ultrasound or MRI can be used to locate them. Alternatively, HCG 1500 units intramuscularly daily for 3 days, causes a significant rise in testosterone if the testes are present.
e. Orchidopexy decreases the risk of neoplasia when performed before 10 years of age. Orchidectomy after puberty is an option for intra abdominal testes.