Weill Cornell Medicine Urology
Weill Cornell Medicine Urology
Cryptorchidism

Cryptorchidism

Header Text: 

Cryptorchidism refers to when a child is born with one or both testicles not present in the scrotum. 

Body: 

When we see a child with an undescended testicle, the ultimate diagnosis can be classified according to several different categories:

Testicular retraction

This is the most common factor resulting in the inaccurate diagnosis of an undescended testicle.

It is common in boys 5-6 years old and is due to a hyperactive cremaster muscle reflex. This is basically a variation of normal. In children from 1 year to 11 years of age, 80% of fully descended testes can withdraw from scrotum and leave an empty scrotum behind due to cremaster reflex. If a testicle can be milked down to the bottom of the scrotum, it is considered a retractile testis, and no further treatment is needed. This phenomena usually disappears by puberty.

Cannilicular testis

Here the testicle is located above its natural position in the scrotum, but still outside the abdominal cavity. Tension from the external musculature of the body wall prevents normal descent into the scrotum.

Body Column 2: 

Intra-abdominal testes

Here the testicle is located inside the abdominal cavity residing in a position along its pathway of natural descent. In such a position, it is not amenable to future examination by a physician, and it is at risk of becoming cancerous.

Ectopic testicle

Here the testicle may be found in regions not in the usual pathway of descent into the scrotum. Five major sites of ectopia are perineum, femoral canal, superficial inguinal pouch, suprapubic area, and contralateral scrotal pouch. The etiology is believed to be misdirected attachment to the scrotum.

Absent testicle

Such a phenomena of absent testicle can be bilateral (affecting both sides). It is believed to be associated with in utero torsion, vascular insult, or agenesis.

Cryptorchidism - Symptoms & Evaluation

Summary: 

Ultrasound can help identify a testicle located in the inguinal canal, but is of limited use for intra-abdominal testes.

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Cryptorchidism - Treatment Options

Summary: 

A thorough evaluation can help determine the treatment route, whether by surgical means or hormonal therapy.

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Physicians & Faculty

Dr. Dix Phillip Poppas, M.D., F.A.A.P., F.A.C.S. | Cornell Urology
AETNA-HMO, AETNA-PPO, Aetna-Weill Cornell POS, Affinity Essential, Affinity Health Plan, Blue Priority Network, CIGNA, EBCBS HMO, EBCBS Pathway X, EBCBS Pathway X Enhanced, EBCBS PPO/EPO, Empire BCBS HealthPlus, Empire BCBS HealthPlus (CHP), Fidelis Care, Health First, Health Insurance Plan of NY (HIP) [Medicaid], Medicaid, Medicare, Oxford Freedom, POMCO, Rockefeller University-CoreSource, VNSNY CHOICE SelectHealth
The Institute for Pediatric Urology

Ardavan Akhavan

M.D.

(212) 746-5361
(212) 746-5361
Aetna-Weill Cornell POS, Blue Priority Network, EBCBS HMO, EBCBS Mediblue, EBCBS Pathway X, EBCBS Pathway X Enhanced, EBCBS PPO/EPO, Fidelis Care, Health First, Medicaid, Medicare, Rockefeller University-CoreSource
The Institute for Pediatric Urology
Dr. Jeremy B. Wiygul, M.D. | Cornell Urology

Jeremy Wiygul

M.D.

(718) 224-2644
(718) 224-2644
AETNA, Affinity (Exchange Products: Essential- Platinum, Gold, Silver, Broze, American Indian, Catastrophic), Amida Care, CIGNA, Consumer Health Network (CHN), Coventry/FirstHealth, EBCBS Pathway X, EBCBS Pathway X Enhanced, Elderplan, Empire BCBS Healthplus (AmeriGroup NY), Fidelis (Excluding Fidelis Exchange and Essential), GHI PPO/CBP/Prem PPO (Emblem Exchange Products: Select Care Bronze, Silver, Gold, Platinum, Basic), Health First (Excluding Leaf Products), HIP (Incl. Comprehealth) (Emblem Exchange Products: Select Care Bronze, Silver, Gold, Platinum, Basic), Local 1199, MagnaCare (Exchange Products: Health Republic Essenital Care, Oscar Edge Plans), Medicare, MultiPlan, Oxford (NY State of Health), Railroad Medicare, United Health Care [Community Plan], VNSNY Choice/VNS FIDA (formerly Select Health), Wellcare (Medicare, Medicaid, CHP, and FHP-exclusing Essential Plan)
Weill Cornell Medicine Urology - Queens

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