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Doctor insights on: Cryptorchidism

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Dr. Shari Jackson
43 Doctors shared insights

Cryptorchidism (Overview)

Is the failure of one or both testes to descend into the scrotum. It means undescended testicle/testicles.


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What is cryptorchidism?

What is cryptorchidism?

Undescended: Undescended testicle. Means one or both testicles have not moved out of the abdomen or groin into its proper position in the scrotum. Often surgically corrected by a urologist specialist. ...Read more

Dr. Shari Jackson
43 Doctors shared insights

Cryptorchidism (Overview)

Is the failure of one or both testes to descend into the scrotum. It means undescended testicle/testicles.


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Please let me know if there is a possibility for an adult patient with uncorected bilateral cryptorchidism to father children without any treatment?

Please let me know if there is a possibility for an adult patient with uncorected bilateral cryptorchidism to father children without any treatment?

Unlikely: Bilateral cryptorchidism signifies non-palpable testes ; thus intra-abdominal or high inguinal. Such testes can not produce sperm. However a few sperm might be present in a low undescended testis at scrotal neck. In which case sperm might be surgically extracted directly from testis implanted in vitro by intracytoplasmic sperm injection (icsi). ...Read more

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What is an undescended testicle (cryptorchidism) cause?

What is an undescended testicle (cryptorchidism) cause?

Exact causes unknown: There appear to be many factors:- can be genetic (e.g. Father may have had same), hormonal (mother taking estrogens, birth control pill or child conceived by ivf, meat sources fed estrogens), prematurity (small premature babies have higher incidence), environmental factors can affect hormones as can nerve activity from the ileo-inguinal nerve. ...Read more

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What is the treatment for cryptorchidism?

What is the treatment for cryptorchidism?

Orchidopexy surgery: Cryptochidism signifies a hidden or non-palpable testis, although many erroneously use the term for any undescended testis. Ultrasound should first be performed if testis is non-palpable. Then laparoscopy if us is negative. Orchidopexy surgery, either laparoscopically, or by open trans-abdominal or inguinal surgery. ...Read more

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Can you have hypospadias and cryptorchidism together?

Can you have hypospadias and cryptorchidism together?

Yes: When a baby is born with both hypospadias and one or two undescended testicles, there may be a chromosomal or hormone defect. With a severe hypospadias and two undescended testicles that cannot be palpated, the baby may be a girl with a severe hormone anomaly called congenital adrenal hyperplasia. At birth, these children must be evaluated by a urologist. ...Read more

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What is cryptorchidism?

Undescended: Undescended testicle. Means one or both testicles have not moved out of the abdomen or groin into its proper position in the scrotum. Often surgically corrected by a urologist specialist. ...Read more

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What is the definition or description of: cryptorchidism?

Cryptorchidism: Is the failure of one or both testes to descend into the scrotum.
It means undescended testicle/testicles. ...Read more

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What are the primary concerns for a male child with cryptorchidism?

What are the primary concerns for a male child with cryptorchidism?

The following: 1) Cryptorchid testis will have impaired or absent sperm production. Testis requires slightly reduced environmental temperature of scrotum 4 sperm production. 2) Slight increase risk of testicular cancer, so testis should be brought down so can be diagnosed early & cured. 3) Psychological. Most self respecting males want 2 testes down. 4) Slightly greater risk of testis torsion or trauma. ...Read more

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Is cryptorchidism curable?

Yes: If testes is found to be healthy and viable, it can be brought down into its normal position via surgery. ...Read more

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Can you have hypospadias and cryptorchidism together?

Yes: When a baby is born with both hypospadias and one or two undescended testicles, there may be a chromosomal or hormone defect. With a severe hypospadias and two undescended testicles that cannot be palpated, the baby may be a girl with a severe hormone anomaly called congenital adrenal hyperplasia. At birth, these children must be evaluated by a urologist. ...Read more

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Is it uncommon to have hypospadias and cryptorchidism together?

Common: Both disorders are quite common. When they occur together, there may be an association with a disorder of sexual differentiation. Seek the opinion of a pediatric urologist. ...Read more

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What is the treatment for cryptorchidism?

Orchidopexy surgery: Cryptochidism signifies a hidden or non-palpable testis, although many erroneously use the term for any undescended testis. Ultrasound should first be performed if testis is non-palpable. Then laparoscopy if us is negative. Orchidopexy surgery, either laparoscopically, or by open trans-abdominal or inguinal surgery. ...Read more

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Assocaition between cryptorchidism and fertility?

High: If cryptorchidism (undescended testis) is not corrected before puberty then low sperm counts are common. The surgery is called orchiopexy and is performed by urologists. ...Read more

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What doctor should I see if cryptorchidism?

Pediatric urologist: A pediatric urologist is the most specifically trained person to address this issue. However, pediatric surgeons are also trained in testicular maldescent and perform these repairs (orchiopexies) often. Some general urologists concentrate a portion of their practice in pediatrics and are fully capable of addressing this issue as well. ...Read more

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What is an undescended testicle (cryptorchidism) cause?

Exact causes unknown: There appear to be many factors:- can be genetic (e.g. Father may have had same), hormonal (mother taking estrogens, birth control pill or child conceived by ivf, meat sources fed estrogens), prematurity (small premature babies have higher incidence), environmental factors can affect hormones as can nerve activity from the ileo-inguinal nerve. ...Read more

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Does bilateral cryptorchidism give you different sex drive?

Does bilateral cryptorchidism give you different sex drive?

Possibly: If both testicles remain cryptorchid. In which case suggest you see a urologist to discuss possibility of bringing them down. Usually cryporchidism does not affect sex drive, unless you have low testosterone levels. Cryptorchid testes can still produce testosterone. It is sperm production that is adversely affected. ...Read more

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Please let me know if there is a possibility for an adult patient with uncorected bilateral cryptorchidism to father children without any treatment?

Unlikely: Bilateral cryptorchidism signifies non-palpable testes ; thus intra-abdominal or high inguinal. Such testes can not produce sperm. However a few sperm might be present in a low undescended testis at scrotal neck. In which case sperm might be surgically extracted directly from testis implanted in vitro by intracytoplasmic sperm injection (icsi). ...Read more

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Born with cryptorchidism. Orchiopexy at age 5. As I aged remained very small & is tender. 42 now. Any concern & is prosthetic worth considering?

Born with cryptorchidism. Orchiopexy at age 5. As I aged remained very small & is tender. 42 now. Any concern & is prosthetic worth considering?

Possibly: Many men like to have a matching pair of normal-size testicles in their scrotum as a matter of self esteem. Yes, if single and concerned embarssment with a potential future partner. No point in a prosthesis if already with partner who is unconcerned. Single prosthesis can be placed if other testis is normal & have small tentder testis removed. @ prostheses & leave testicle if no normal testes. ...Read more

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I think I've had cryptorchidism as my testicles didn't descend until late (last one at ~14years).I have retractile testicles now. Would I be fertile?

I think I've had cryptorchidism as my testicles didn't descend until late (last one at ~14years).I have retractile testicles now. Would I be fertile?

Unsure. Need test: Research has learned that sperm counts are lower with higher temperatures, so sperm counts can vary with tight vs loose underwear and can be affected by prolonged exposure in hot tubs, etc. If your testicles hang loose when your body is warm and relaxed, there is no reason to suspect that there is a problem, but only an analysis of semen can confirm that. ...Read more

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Does one sided cryptorchidism cause infertility in men? Does a man with one healthy testicle have a lower sperm count?

Does one sided cryptorchidism cause infertility in men? Does a man with one healthy testicle have a lower sperm count?

Likely fertile: Sperm count will probably be within normal limits because remaining testicle will grow larger (compensatory hy[pertrophy) and thus produce more sperm than if it were 1 of a pair, but count may be slightly reduced. Semen volume is unaffected and normal because >95% is produced by the seminal vesicles, prostate and cowper's glands. Sperm is no > 5% of ejaculate.. ...Read more

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23 yr old M monorchid secondary to R cryptorchidism. I have a small 2 mm lump that is soft, moveable and non-tender near epididymis. Pls advise.

23 yr old M monorchid secondary to R cryptorchidism. I have a small 2 mm lump that is soft, moveable and non-tender near epididymis. Pls advise.

Epididymis: Sorry for the right cryptorchidism, the lump you are referring to above the healthy testicle: for how long has it been there? Or you just noticed it? It can be any structure related to the epididymis or something else. Your best bet is to see your doctor for exam and reassurance, best wishes ...Read more

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I suffer from cryptorchidism n pme (ejaculate in 30 sec even during masturbation). is this curable. Can I satisfy my wife and father a child m bachelor?

I suffer from cryptorchidism n pme (ejaculate in 30 sec even during masturbation). is this curable. Can I satisfy my wife and father a child m bachelor?

Cryptorchidism: Cryptorchidism has nothing to do with PME. If your other testicle is normal and no other issues should not have problems conceiving child. If concern, simple sperm count and motility eval sufficient to start. Satisfy spouse is another issue. More to relations with spouse than just sex (although important). Thoughtful spouse and good therapist can work with you to help PME issues. Good luck. ...Read more

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My friend starley of age 22 has cryptorchidism& has both testis & penis underdeveloped. He has addicted to masturbation regularly. Fearing of impotenc?

My friend starley of age 22 has cryptorchidism& has both testis & penis underdeveloped. He has addicted to masturbation regularly. Fearing of impotenc?

See a urologist: Your freind need to see a specialist his condition is associated with high risk of testicular cancer, if he had undescended testicles.
if his testicles were underdeveloped because of undescended testicles the he need a full evaluation of the level of his testosterone level to determined if supplement will be sufficient or it is too late.
this is a serious and complicated problem.
see a specialist. ...Read more

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How do you treat an undescended testicle?

Orchidopexy surgery: Surgical approach depends upon position of undescended testicle. Intra-abdominal or high intra-canalicular testes are sometimes best managed laparoscopically. However, most undescended testes are brought down by performing an inguinal orchidopexy. Best performed after age-6-months if child was born at term, by one year if born prematurely. Otherwise, soon after diagnosis if diagnosis is made later. ...Read more

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Is the size of an undescended testicle abnormal?

Is the size of an undescended testicle abnormal?

Yes: A true undescended testicle is usually smaller than a normal testis for the same age. One school of thought believes that the testis does not descend because it is malformed or maldeveloped and that includes size, ductal connections and length of the spermatic cord. ...Read more

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Anyone have experience with undescended testicle?

Anyone have experience with undescended testicle?

? pts age??: Approach to undescended testis has gradually become more aggressive over the past 3 decades as data show the negative effect letting it stay in the abdomen have on fertility or the opposite testis. Locating & bringing it down if possible by 6m to 1y is common with a trend toward earlier surgery.Those found high in the scrotum or canal at birth are generally watched ...Read more

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What are the symptoms of an undescended testicle?

What are the symptoms of an undescended testicle?

Not at scrotal base: An undescended does not reach base of scrotum & can be high in the scrotum, groin, next to scroyum, above penis or non palpable in the inguinal canal or abdomen. Usually free of symptoms or occasional vague feeling of groin discomfort. Groin swelling from companion inguinal hernia can occur. Undescended are at increased risk of torsion which would result in severe and acute groin pain. ...Read more

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Can I have children if I have an undescended testicle?

Can I have children if I have an undescended testicle?

Probably: It depends if it is truly undescended or retractile. Retractile means it is high up in the scrotum and can be felt this should not cause problems with fertility. If it is truly undescended and can't be felt the undescended teste will probably not produce sperm, but if the other testicle is ok you should have no problem. An undescended testicle should be seen by a physician and repaired. ...Read more

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Can you have kids if you have an undescended testicle?

Can you have kids if you have an undescended testicle?

Yes: If undescended testis repaired early you should have normal function. Plus you have other testicle. If really concerned after you get married your doctor can perform a sperm count. ...Read more

Dr. Craig Smith
64 Doctors shared insights

Undescended Testicle (Definition)

A testicle that hasn't moved into its proper position in the bag of skin ...Read more


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