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Undescended testis — MRCPCH FOP MCQ

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EasyNeonatologyUndescended testisMRCPCH FOP

A term newborn boy has a left testis palpable high in the inguinal canal and the right testis in the scrotum. He passes urine normally and has no hypospadias. What would you advise the parents?

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Correct answer: A — Re-examine at 6 to 8 weeks and refer if not descended by 6 months

A unilateral palpable undescended testis can be monitored initially, with referral if it remains undescended by 6 months. Emergency surgery is not needed in a stable newborn with a palpable testis. Renal ultrasound is not routinely needed for isolated unilateral cryptorchidism. The pearl is that bilateral impalpable testes or genital ambiguity would require urgent endocrine assessment.

Reference: NICE CKS Undescended testes; BAPS guidance