Mother Water Street 15 B, 1250-154 Lisbon
+351 211 510 600
Schedule: Monday to Friday: 8:00 am - 7:00 pm
Situation in which one or both testicles are not found in the usual position inside the scrotal sac. The evaluation allows to distinguish cryptorchidism from other situations, such as the retractile testicle, and establish the appropriate guidance.
One of the sides of the scrotal sac appears to be empty?It may not cause pain — and yet, it should be evaluated early.After 6 months of corrected age, spontaneous descent becomes unlikely.
During pregnancy, each testicle forms in the abdomen and travels a path to the scrotum.
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PALPABLECan be felt in the groinThis is the most frequent situation.
NOT PALPABLECannot be felt by touchThis does not automatically mean it is in the abdomen.
Rises temporarily, but can be gently brought to the scrotum and remains there for some time.Usually does not require surgery. Should be reevaluated every year until puberty.
Did not complete the descent and does not reach - or does not remain - in the scrotum during the examination.If it persists after 6 months, treatment should be planned.
Was previously in the scrotum, but stopped staying there. Also needs specialized evaluation.
Ultrasound is not usually necessary and should not delay specialized evaluation.
Timely correction seeks to protect the development of the testicle and facilitate future follow-up.
Observe the descent and confirm the position in the clinical examination.
If it hasn't descended, spontaneous descent later is unlikely. Evaluation by Pediatric Surgery should not be delayed.
Ideal window to perform orchiopexy when indicated.
Ideally, treatment should be completed. If diagnosis is later, do not delay evaluation or treatment.
Usually in the groin and scrotum; in lower testicles, a scrotal approach may be sufficient.
After a new examination under anesthesia, it can be located and the approach defined. Some high intra-abdominal testicles require two stages.
simple unilateral surgery
usual discharge
usual return to school
no bicycle, physical education or sports
To favor growth and preserve, as much as possible, the potential for function and fertility, facilitating future surveillance.
Approximate times. Vary depending on location, one or both sides and the need for laparoscopy or staged surgery. The total stay in the clinic is longer.
Cryptorchidism without symptoms is not usually an emergency. Sudden pain changes this rule.
Follow-up confirms position and growth. In adolescence, attention to testicular health is maintained - even after a successful correction.
A testicular twist is an emergency.
Contact the team in the face of fever, increasing redness, secretion, persistent bleeding, significant swelling or uncontrolled pain.
If none of the testicles are palpable in a newborn, priority specialized evaluation is necessary.
If the patient has recurrent difficulties or other clinical conditions that may justify surgery.
The doctor will evaluate the patient's comfort level, taking into account their hygiene and potential complications caused by the absence of the testicle.
The doctor will discuss the expectations and benefits of the procedure.
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