A 4-month-old boy attends for his scheduled immunisations. He was born at term and is thriving. The right hemi…

Question

A 4-month-old boy attends for his scheduled immunisations. He was born at term and is thriving. The right hemiscrotum is empty and underdeveloped. The right testis is palpable in the inguinal canal and can be drawn only as far as the upper scrotum, from where it springs straight back. The left testis sits in the scrotum without tension. The penis is normal with a terminal meatus. His newborn check recorded that the right testis was also not in the scrotum. Which one of the following is the most…

Accepted Answer

Refer non-urgently for paediatric surgical review

Answer

Arrange scrotal and inguinal ultrasound

Answer

Refer urgently for karyotype and endocrine assessment

Answer

Review at 12 months and refer if still undescended

Answer

Review at two years and refer if still undescended

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