Identification and treatment of cryptorchid testes should be done by age 2 years. What is an important consideration?
a. Medical therapy is not effective after this age.
b. Treatment is necessary to maintain the ability to be fertile when older.
c. The younger child can tolerate the extensive surgery needed.
d. Sexual reassignment may be necessary if treatment is not successful.
ANS: B
The longer the testis is exposed to higher body heat, the greater the likelihood of damage. To preserve fertility, surgery should be done at an early age. Surgical intervention is the treatment of choice. Simple orchiopexy is usually performed as an outpatient procedure. The surgical procedure restores the testes to the scrotum. This helps the boy to have both testes in the scrotum by school age. Sexual reassignment is not indicated when the testes are not descended.
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