FIGURE 1.

Evaluation and Treatment of Cryptorchidism

Boy with undescended testis

YES Consult specialist

Bilateral, nonpalpable
to evaluate for DSD
NO

Reassess at 6 months NO Older than 6 months

(corrected for gestational age) (corrected for gestational age)

YES

Still undescended YES Consider inguinal/scrotal

Refer to surgical specialist NON-PALPABLE Examination NON-PALPABLE
testis at 6 months exploration if nubbin
under anesthesia palpable +/- contralateral
hypertrophy
PALPABLE
PALPABLE
Retractile Orchiopexy -
Scrotal vs Inguinal
Undescended Abdominal exploration -
Monitor yearly Laparoscopic vs open

Testis identified Vessels entering Blind ending

Internal ring vessels

Orchiopexy-
Single stage- Fowler Stephens
(1 or 2 stage) Inguinal exploration Close

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