Top
20
Doctor insights on: Cryptorchidism Emedicine

Share
1

1
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

See 1 more doctor answer
Dr. Krishna Kumar
42 doctors shared insights

Cryptorchidism (Definition)

The testis develops in the abdomen during fetal life and descends all the way to the scrotum on both sides. Given this long journey, it is not surprising that 3% don't make it at birth. When the testis on one side or the other is non palpable, it is said to be cryptorchid. There is a 5% chance that it did not develop normally or that is atrophied from a loss of blood supply ...Read more


2

2
What is the definition or description of: cryptorchidism?

What is the definition or description of: cryptorchidism?

Hidden testis: The testis develops in the abdomen during fetal life and descends all the way to the scrotum on both sides. Given this long journey, it is not surprising that 3% don't make it at birth. When the testis on one side or the other is non palpable, it is said to be cryptorchid. There is a 5% chance that it did not develop normally or that is atrophied from a loss of blood supply in utero (i.e. Torsion). ...Read more

See 2 more doctor answers
3

3
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
4

4
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
5

5
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
6

6
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
7

7
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

8

8
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

9

9
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

10

10
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

11

11
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

12

12
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

13

13
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

14

14
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
15

15
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

16

16
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

18

18
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

19

19
How do you treat an undescended testicle?

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
20

20
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

See 1 more doctor answer
Dr. Craig Smith
63 doctors shared insights

Undescended Testicle (Definition)

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