Top
40
Doctor insights on: Cryptorchidism Emedicine

Share
Dr. Craig Smith
64 doctors shared insights

Undescended Testicle (Definition)

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


2

2
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

3

3
Could pediatric neuro-sarcoidosis cause pituitary dwarfism (hyposomatotropism) in children ?

Could pediatric neuro-sarcoidosis cause pituitary dwarfism (hyposomatotropism) in children ?

It could be a cause: Causes of hypopituitarism can directly affect the pituitary gland or indirectly through the hypothalamus, which in turn affects the pituitary gland. Causes of hypopituitarism, of which there are many, includes sarcoidosis - a rare inflammation of the lymph nodes and other tissues throughout the body. ...Read more

5

5
Diagnosed with azoospermia-noa with fsh(24.3), testosterone-165, free-3.31, small testicles(each 3cc). Suggest needle biopsy or tese or mtese? Age-30

Diagnosed with azoospermia-noa  with fsh(24.3), testosterone-165, free-3.31, small testicles(each 3cc). Suggest needle biopsy or tese or mtese? Age-30

Karyotype: Hi. Sounds consistent with Klinefelter's, 47-XXY. Get a karyotype before people go sticking needles in your testicles. Testicular biopsy wouldn't be diagnostic...karyotype is. Sorry, but I don't know what "tese" or "mtese" is. ...Read more

See 1 more doctor answer
6

6
Scrotal ultrasound measured testicular length at 5 cm, bilateral hydrocele is 1.7 cc. What is the actual testicular length?

Scrotal ultrasound measured testicular length  at 5 cm, bilateral hydrocele is 1.7 cc. What is the actual testicular length?

5 cm.: A hydrocele is not 'counted' in the length of the testis. It is a fluid collection around the testis. The testis is solid and usually measured in 3 dimensions. ...Read more

8

8
Age2- Renal US: kidney without interval growth. Hx: duplex kidney, pylonephritis, ureteral stump infection- sx corrected

Age2- Renal US: kidney without interval growth. Hx: duplex kidney, pylonephritis, ureteral stump infection- sx corrected <age1, what can this mean?

Urological problems: Anatomical malformations of the kidneys and urinary tract are common causes of infections. When the kidneys themselves get infected, it's called pyelonephritis, a dangerous and urgent problem which needs antibiotics and close follow up. Your child needs to see a urologist. ...Read more

9

9
Is cryptorchidism curable?

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

See 1 more doctor answer
10

10
Ped.urologist diagnosed bilat. nonpalp udt.ordered chromosomal testing for careertype.recommended laproscopy after this.5 month old baby.what reason?t

Ped.urologist diagnosed bilat. nonpalp udt.ordered chromosomal testing for careertype.recommended laproscopy after this.5 month old baby.what reason?t

Undescended Testicle: Undescended testicles are associated with certain cancers and some genetic abnormalities. That is why the pediatric urology is investigating the karyotype and has scheduled the laparoscopy. ...Read more

12

12
Is testosterone the treatment for erectile dysfunction in 44 year old male?

Is testosterone the treatment for erectile dysfunction in  44 year old male?

Erectile Dysfunction: Nope. Not at all. Ed is usually caused by hypertension, cardiovascular diseases, obesity, increased blood sugars or diabetes, etc. Testosterone is only one possible contributing fact for some with ed. ...Read more

See 1 more doctor answer
14

14
Any dr read this destroying the myth about testosterone replacement and prostate cancer by abraham morgentaler, md, facs introduction by william fa?

Any  dr read  this destroying the myth about testosterone replacement and prostate cancer
by abraham morgentaler, md, facs introduction by william fa?

Yes: Great book. Morgantaler is the doc when it comes to testosterone. When it comes to testosterone adn prostate cancer all is not what it seems. This is not standard but have a look here http://1.Usa.Gov/n7ggvn ...Read more

See 2 more doctor answers
15

15
What is this ... Read this in a medical journal . Scrotal sonogram ..Small bilateral hydroceles , 9mm right scrotal calcification.?

What is this ... Read this in a medical journal . Scrotal sonogram ..Small bilateral hydroceles , 9mm right scrotal calcification.?

See below: "small bilateral hydroceles" is a common nearly ubiquitous finding on scrotal ultrasounds. It means nothing in particular. A scrotal calcification may be completely innocuous if free floating but needs a medical evaluation if a part of the structure of the testis or surrounding structures. ...Read more

See 1 more doctor answer
17

17
Microsurgical inguinal varicocelectomy (grade III). Large, left, hangs below testicle. What is the prognosis for complete reabsorption?

Microsurgical inguinal varicocelectomy (grade III). Large, left, hangs below testicle. What is the prognosis for complete reabsorption?

Good Prognosis.: While the traditional varicocoelectomy operation has a recurrence rate of as much as 25%, the microsurgical technique has a recurrence rate of only 1% or less. ...Read more

19

19
Hello docs, is chiari malformation genetic?

Hello docs, is chiari malformation genetic?

Not know for sure: Information on genetics being investigated.Duke University Medical Center is investigating the hereditary basis of Chiari type I malformations with or without syringomyelia The research is aimed at learning if caused by inheritance factors. ...Read more

20

20
What is TRT dosage for hypogonadal 17 year old male /total testosterone 336 range 350-1200. Free testosterone 78.8 range 190-890?

What is TRT dosage for hypogonadal 17 year old male /total testosterone 336 range 350-1200.   Free testosterone 78.8 range 190-890?

Cause: You need to know the cause before treatment. Sometimes low testosterone level is a symptom of something else. Optimal treatment depends on the cause. See your doctor to find this out. ...Read more

See 1 more doctor answer
21

21
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

See 1 more doctor answer
22

22
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

See 2 more doctor answers
23

23
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

See 2 more doctor answers
24

24
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

See 1 more doctor answer
25

25
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

See 2 more doctor answers
26

26
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

See 1 more doctor answer
27

27
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

28

28
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

29

29
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

30

30
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

31

31
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

32

32
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

33

33
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

34

34
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

35

35
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

See 2 more doctor answers
36

36
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

37

37
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

39

39
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

40

40
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

See 1 more doctor answer
Dr. Brad Goldenberg
43 doctors shared insights

Cryptorchidism (Definition)

Is the failure of one or both testes to descend into the scrotum. ...Read more