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"Hidden testicles"
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- This condition occurs when the testicles are not present in the scrotum at birth. They may be present in the abdominal area (and undetectable by physical exam), or anywhere between the abdomen and the scrotum.
- The higher temperatures in the
abdomen can permanently damage the testicles and, therefore,
it is ideal to correct this condition early.
- Normal testicles descend at 7 months of gestation.
- Cryptorchidism occurs in 3.5% of term infants, 17% of premature infants, and in 100% of infants weighing less than 900 grams.
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- None, other than apparently absent testicle(s)
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- Examination for the presence of both testicles in the scrotum
- If absent, ultrasound or magnetic resonance imaging (MRI) should be done to locate one or both testicles.
- Rarely, a surgical inspection or sample is required.
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- If partially descended, hormonal treatment with human chorionic gonadotropin (HCG) may be successful.
- If treatment is unsuccessful by 6 months of age, surgery may be necessary to either re-locate or remove the hidden testicle(s).
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- Risk of testicular cancer is 22 times greater in third or fourth decade if uncorrected; or treated after puberty.
- Rate of infertility in treated testicle is 25%-50%.
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- Best method is to reduce preterm deliveries with prenatal care.
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