Undescended testis: What paediatricians need to know

John M. Hutson; Jaya Vikraman; Ruili Li; Joergen Thorup

doi:10.1111/jpc.13744

Undescended testis: What paediatricians need to know

John M. Hutson^*, Jaya Vikraman, Ruili Li, Joergen Thorup

^*Corresponding author for this work

Department of Clinical Medicine

15 Citations (Scopus)

Abstract

Undescended testis (UDT) occurs when something goes wrong with testicular descent from high in the abdominal cavity to the scrotum. Normal descent occurs in two steps, with the transabdominal phase controlled by a new testicular hormone, insulin-like hormone 3, and the inguinoscrotal phase controlled by androgens. The latter phase requires a complex process of migration from the inguinal abdominal wall to the scrotum and is commonly defective, leading to the high incidence (2–4%) of UDT at birth. The clinical examination of babies and infants aims to confirm the persistence of congenital UDT by 3–6 months, so surgery can be optimally timed at 6–12 months. For those boys who develop acquired UDT later in childhood, the ‘ascending’ testis often needs surgery between 5 years and 10 years, so all boys should be screened again for UDT at school entry.

Original language	English
Journal	Journal of Paediatrics and Child Health
Volume	53
Issue number	11
Pages (from-to)	1101-1104
Number of pages	4
ISSN	1034-4810
DOIs	https://doi.org/10.1111/jpc.13744
Publication status	Published - Nov 2017

Keywords

cryptorchidism
surgery
undescended testis
urology/gynaecology

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10.1111/jpc.13744

Cite this

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title = "Undescended testis: What paediatricians need to know",

abstract = "Undescended testis (UDT) occurs when something goes wrong with testicular descent from high in the abdominal cavity to the scrotum. Normal descent occurs in two steps, with the transabdominal phase controlled by a new testicular hormone, insulin-like hormone 3, and the inguinoscrotal phase controlled by androgens. The latter phase requires a complex process of migration from the inguinal abdominal wall to the scrotum and is commonly defective, leading to the high incidence (2–4%) of UDT at birth. The clinical examination of babies and infants aims to confirm the persistence of congenital UDT by 3–6 months, so surgery can be optimally timed at 6–12 months. For those boys who develop acquired UDT later in childhood, the {\textquoteleft}ascending{\textquoteright} testis often needs surgery between 5 years and 10 years, so all boys should be screened again for UDT at school entry.",

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author = "Hutson, {John M.} and Jaya Vikraman and Ruili Li and Joergen Thorup",

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TY - JOUR

T1 - Undescended testis

T2 - What paediatricians need to know

AU - Hutson, John M.

AU - Vikraman, Jaya

AU - Li, Ruili

AU - Thorup, Joergen

PY - 2017/11

Y1 - 2017/11

N2 - Undescended testis (UDT) occurs when something goes wrong with testicular descent from high in the abdominal cavity to the scrotum. Normal descent occurs in two steps, with the transabdominal phase controlled by a new testicular hormone, insulin-like hormone 3, and the inguinoscrotal phase controlled by androgens. The latter phase requires a complex process of migration from the inguinal abdominal wall to the scrotum and is commonly defective, leading to the high incidence (2–4%) of UDT at birth. The clinical examination of babies and infants aims to confirm the persistence of congenital UDT by 3–6 months, so surgery can be optimally timed at 6–12 months. For those boys who develop acquired UDT later in childhood, the ‘ascending’ testis often needs surgery between 5 years and 10 years, so all boys should be screened again for UDT at school entry.

AB - Undescended testis (UDT) occurs when something goes wrong with testicular descent from high in the abdominal cavity to the scrotum. Normal descent occurs in two steps, with the transabdominal phase controlled by a new testicular hormone, insulin-like hormone 3, and the inguinoscrotal phase controlled by androgens. The latter phase requires a complex process of migration from the inguinal abdominal wall to the scrotum and is commonly defective, leading to the high incidence (2–4%) of UDT at birth. The clinical examination of babies and infants aims to confirm the persistence of congenital UDT by 3–6 months, so surgery can be optimally timed at 6–12 months. For those boys who develop acquired UDT later in childhood, the ‘ascending’ testis often needs surgery between 5 years and 10 years, so all boys should be screened again for UDT at school entry.

KW - cryptorchidism

KW - surgery

KW - undescended testis

KW - urology/gynaecology

U2 - 10.1111/jpc.13744

DO - 10.1111/jpc.13744

M3 - Review

C2 - 29148186

AN - SCOPUS:85034612251

SN - 1034-4810

VL - 53

SP - 1101

EP - 1104

JO - Journal of Paediatrics and Child Health

JF - Journal of Paediatrics and Child Health

IS - 11

ER -

Undescended testis: What paediatricians need to know

Abstract

Keywords

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