06/11/2025
UNDESCENDED TE**ES
Guidelines for the pre-pubertal patients are well defined; however, those applicable to the post-pubertal patient seem far more rudimentary and have remained unchanged for a number of years. The current AUA guidelines with reference to the post-pubertal patients are as follows:
In the post-pubertal child with cryptorchidism, consideration should be given to performing an orchiectomy or biopsy.
In boys with a normal contralateral te**is, surgical specialists may perform an orchidectomy (removal of the undescended te**is) if a boy has a normal contralateral te**is and either very short testicular vessels and vas deferens, dysmorphic or very hypoplastic te**is, or post-pubertal age.
The EAU guidelines similarly state:
For the UDT in the post-pubertal patient who has a normal contralateral te**is, discuss orchidectomy because of the theoretical risk of later malignancy