Undescended testes

Disclaimer

These guidelines have been produced to guide clinical decision making for general practitioners (GPs). They are not strict protocols. Clinical common-sense should be applied at all times. These clinical guidelines should never be relied on as a substitute for proper assessment with respect to the particular circumstances of each case and the needs of each patient. Clinicians should also consider the local skill level available and their local area policies before following any guideline.

Introduction

Undescended testes are those that are unable to be manipulated to the base of the scrotum or can be manipulated into the base of the scrotum under tension but will retract back quickly once released.

Retractile testes can be manipulated into the base of the scrotum without tension. Once released, they will maintain the position at the base of the scrotum for a period of time.

Acquired undescended testes occur if the child grows at a faster rate than the spermatic cord causing the testes to retract back into the groin.

If undescended testes are associated with hypospadias urgent referral to General Surgery is required. Please inform the parents of the importance of not circumcising as the tissue may be required for reconstruction.

Pre-referral investigations

Physical examination
Imaging is not indicated

Pre-referral management

No management required.

When to refer

Refer to the General Surgery Department when:

the testes remain undescended by 3 months of age (corrected)
previously descended testes become undescended
the child has retractile testes
there are any other concerns with the testes position.

How to refer

Routine non-urgent referrals from a GP or a Consultant should go to the Central Referral Service
Routine non-urgent referrals from a nurse practitioner, non-medical referrers or private hospitals go to the PCH Referral Office
Urgent referrals (less than seven days) are made via the PCH Referral Office.

Essential information to include in your referral

Patient demographics including next of kin and contact details.
Physical examination report.

Useful resources

Health Pathways

References

Yeap E, Nataraja R, Pacilli M. Undescended testes. Australian Journal of General Practice. 2019;48(1/2):33-6.

Reviewer/Team:	Dr Parshotam Gera	Last reviewed:	May 2021
		Review date:	May 2024
Endorsed by:	CPAC	Date:	May 2021

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