Undescended testis – Current concepts

Undescended Testis (UDT) is a common congenital anomaly especially in preterm boys. Serial examination is essential to diagnose cases of acquired cryptorchidism. The treatment of UDT has undergone a dramatic change in recent times with emphasis on early surgical intervention between 6 months to 1 year of age. Hormonal therapy to induce descent of testes has been used for over 70 years based on the premise that androgens promote testicular descent, but efficacy is questionable. The traditional approach to surgical treatment of palpable testes is inguinal orchidopexy. Laparoscopy has become a valuable tool in cases of nonpalpbale testis. The current concepts in the management of UDT are reviewed.