Question

If a child has unilateral cryptorchidism with one testicle located in the lower abdomen, how should it be handled?

Answer

Generally, for children under one year old, medication may be used to encourage the descent of the testicle into the scrotum. If the testicle has not descended by the age of two, surgical treatment should be considered. Surgery before the age of two has a smaller impact on the spermatogenic function of the testicle, while the impact becomes more significant after four years and even more severe after eight years. It is recommended to consult a hospital for a follow-up examination. For a child of 10 months old, it can be attempted to use luteinizing hormone-releasing hormone therapy. If the testicle has not descended by the age of two, surgical treatment is required, involving orchidopexy.