Palpation of a patient's scrotum reveals a normal testicle on the right, but the left testicle cannot be palpated. You suspect that he has cryptorchidism and
a. ask him about recent trauma to his scrotum.
b. ask him about recent viral infections such as mumps.
c. palpate his left inguinal canal to locate the testicle.
d. prepare him for emergency surgery.
C
The causes of cryptorchidism are not established but may be multiple. The undescended testis is usually smaller than its normally descended mate. Unilateral cryptorchidism is more common than bilateral. The undescended testicle is usually located in the inguinal canal or less commonly intra-abdominally. Palpate his left inguinal canal. Trauma might not be involved; it is more likely a congenital condition. Mumps or viral infections do not cause cryptorchidism. Emergency surgery is not required.
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