Nathalie Smith, MSN, RN
A child's testicles develop before birth. They start inside the abdomen. The testicles should then move down into the scrotum just before birth. Undescended testes stay in or return to the abdomen. A "true" undescended testicles situation is present at birth. The testicle remains in the abdomen until treated. Other situations that allow the testicles go up into the abdomen include:
Undescended testicles are often caused by a disruption in the development of the testicles. The cause of this disruption is not clear. Genetics may play a role. There may also be some problems with the hormones that help testes develop. The testicles may also have been injured at some point during the pregnancy.
Factors that may increase your child's risk of undescended testicles include:
The main symptom is not being able to see or feel the testicle. With retracting or ascending testicles, your child's testicle may disappear.
Your doctor will ask about your symptoms and medical history. A
will be done. A diagnosis is usually made during the physical exam. The doctor will note that one or both of the child’s testes cannot be felt within his scrotum. Additional tests may include the following:
Undescended testicles are treated because they can increase the risk of certain health conditions such as:
Talk with your doctor about the best treatment plan for your child. Treatment options include:
There is no known way to prevent undescended testes.
American Academy of Pediatrics
National Infertility Association
Infertility Awareness Association of Canada
Cryptorchidism. EBSCO DynaMed website. Available at:
https://dynamed.ebscohost.com/about/about-us. Updated October 13, 2011. Accessed August 16, 2012.
Undescended testicles. American Academy of Family Physicians Family doctor website. Available at:
http://familydoctor.org/familydoctor/en/diseases-conditions/undescended-testicles.html. Accessed August 16, 2012.
Undescended testicles. American Academy of Pediatrics Healthy Children website. Available at:
http://www.healthychildren.org/English/health-issues/conditions/genitourinary-tract/Pages/Undescended-Testicles.aspx. Accessed August 16, 2012.
Docimo S, et al. The Undescended Testicle: Diagnosis and Management.
Am Fam Physician. 2000 Nov 1;62(9):2037
Last reviewed September 2012 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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