Testicular Maldescent

• should be in scrotum by term

• incidence of maldescent 4% at term, 0.3% by one year

Examination

• if not in scrotum, most commonly in inguinal canal (on normal path of descent)

• may be ectopic

  • superficial inguinal pouch, just above external inguinal ring

• increased risk of malignancy (30x) even if replaced in scrotum

• may be retractile testis 

  • can be palpated in scrotal neck and brought to scrotum

• high retracile testis is incompletely descended and requires surgical correction

• inguinal hernia present in 90%

Treatment

• orchidopexy

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