Undescended testis

Template

Tap a choice or type a Repertoire Line to see how the note changes. Defaults are what the template inserts on its own.

Try a Repertoire Line

Practice wording only: leave out patient details. Nothing typed here is saved or sent.

DiagnosisChoose oneTitle

LateralityChoose oneFirst line

LocationChoose one

Associated findings presentChoose any

Associated findings absentChoose any

PlanChoose one

ImagingChoose any

Follow-upChoose one

Follow-up reasonChoose anyJoins the line above

Counseling paragraphChoose oneParagraph

Note when inserted as is

Undescended testis
• Palpable high in the inguinal canal and not brought into the scrotum
• No hypospadias, other genital differences, or inguinal hernia
• Recheck at 6 months of age, since many descend on their own by then, with urology referral if still undescended
• Follow up at 6 months of age

Many undescended testes move down on their own in the first months of life. One still out of place at 6 months usually needs a surgery called orchiopexy, ideally before 18 months, to protect its growth and later fertility and to make it easy to examine. Return precautions given including groin or scrotal pain, swelling or redness in the groin, a new bulge in the groin, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Title: undescended, retractile, bilateral
High in canal; nonpalpable; retractile; acquired ascent
Hypospadias (DSD evaluation); inguinal hernia
Recheck at 6 months; refer for orchiopexy by 18 months; nonpalpable; DSD; retractile no referral
Ultrasound not needed
Follow-up 6 months of age, next well check, after urology
Torsion risk; groin pain

Used to decide, kept out of the note

Hormone injections

Return precautions in the template

groin or scrotal painswelling or redness in the groina new bulge in the groin

Sources

Few formal guidelines cover this topic, so the template also leans on expert opinion.