Cryptorchidism: The Daily PANCE Blueprint

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Cryptorchidism: The Daily PANCE Blueprint

A 6-month-old male is brought to your office by his parents for a routine well-child visit. On examination, the left testicle is not palpable in the scrotum. The testicle is also absent from the inguinal canal during palpation. A prior ultrasound confirmed unilateral cryptorchidism. The child is otherwise healthy, with no significant perinatal history. The parents ask when surgery will be necessary if the testicle does not descend on its own. At what age should orchiopexy be recommended?

A. Before 4 months
B. Between 4-12 months
C. Between 12-24 months
D. After 2 years
E. At puberty

Answer and topic summary

The answer is B. Between 4-12 months

Orchiopexy is the surgical procedure to reposition an undescended testicle into the scrotal sac. Cryptorchidism is the most common congenital anomaly of the male genitalia, with spontaneous descent typically occurring by 6 months of age. If the testicle remains undescended after 6 months, it is unlikely to descend on its own. Orchiopexy is recommended between 4-12 months of age to optimize fertility potential, prevent testicular malignancy, and minimize the risk of testicular torsion or trauma. Early intervention improves testicular function and outcomes, making this the preferred age range for surgery.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Genitourinary ⇒ Congenital and acquired abnormalities ⇒ Cryptorchidism

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