An undescended testicle is usually detected at birth. Your family doctor or pediatrician will continue to monitor the condition during regularly scheduled exams, or well-baby visits, for your infant son.
To prepare for your appointment, write down a list of questions to discuss with the doctor. Questions might include:
- How often should I schedule appointments?
- How can I safely examine the scrotum at home to monitor any changes in the undescended testicle?
- When would you recommend seeing a specialist?
- What kinds of tests will my son need?
- What treatment options do you recommend?
- Are there any brochures or other printed material that I can take home with me? What websites do you recommend?
Don't hesitate to ask additional questions during your appointment.
What to expect from the doctor
Your child's doctor will examine your infant son's groin. If a testicle isn't in the scrotum, he or she will try to locate it by lightly pressing against his skin. The doctor might use a lubricant or warm, soapy water for the exam.
If the doctor feels the testicle somewhere in the inguinal canal, he or she will attempt to move it gently into the scrotum. If it moves only partway into the scrotum, if the movement appears to cause pain or discomfort, or if the testicle immediately retreats to its original location, it might be an undescended testicle. If the testicle can be moved relatively easily into the scrotum and remain there for a while, it's most likely a retractile testicle.
If your son's testicle hasn't descended or can't be located by the time your son nears 6 months of age, the doctor will refer you to a specialist in children's genital and urinary tract disorders (pediatric urologist) or a pediatric surgeon for further examination.
April 09, 2016
- Ferri FF. Cryptorchidism. In: Ferri's Clinical Advisor 2016. Philadelphia, Pa.: Mosby Elsevier; 2016. https://www.clinicalkey.com. Accessed Feb. 9, 2016.
- Cooper CS, et al. Undescended testes (cryptorchidism) in children: Clinical features and evaluation. http://www.uptodate.com/home. Accessed Feb. 9, 2016.
- Longo DL, et al. Disorders of the testes and male reproductive system. In: Harrison's Principles of Internal Medicine. 18th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com. Accessed Feb. 9, 2016.
- Evaluation and treatment of cryptorchidism: AUA guideline. Lanthicum, Md.: American Urological Association. https://www.auanet.org/education/guidelines/cryptorchidism.cfm. Accessed Feb. 9, 2016.
- Cooper CS, et al. Undescended testes (cryptorchidism) in children: Overview of management. http://www.uptodate.com/home. Accessed Feb. 9, 2016.
- Doherty GM, et al., eds. Pediatric surgery. In: Current Diagnosis & Treatment: Surgery. 14th ed. New York, N.Y.: The McGraw-Hill Companies; 2015. http://accessmedicine.com. Accessed Feb. 9, 2016.