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Undescended testes — RACP Paediatrics MCQ

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EasyNeonatalUndescended testesRACP Paediatrics

A term newborn is noted to have bilateral undescended testes on routine examination. The testes are palpable in the inguinal canals bilaterally. The baby is otherwise well with normal genitalia. What is the most appropriate initial management?

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Correct answer: C — Reassurance and observation

Most undescended testes in term infants will descend spontaneously by 3-6 months of age. If testes remain undescended by 6 months, referral to a paediatric surgeon is recommended, with orchidopexy ideally performed by 12 months of age to preserve fertility and reduce malignancy risk.

Reference: RCH Melbourne – 2023 – Undescended Testes CPG; RACP Paediatric Curriculum – Neonatology