Definition:

failure of one or both testicles to descend to their natural position in the scrotum

Clinical features

  • Palpable: testicle cannot be manually manipulated into the scrotum
  • Non-palpable: may be intra-abdominal or absent

Variants Inguinal testis:

The testicle is located between the external and internal inguinal ring.

  • Intra-abdominal testis: testicle is located proximal to internal inguinal ring.

  • Diagnosis: Primarily a clinical diagnosis

  • Testis in the inguinal canal, the commonest site, can be diagnosed by ultrasound.

  • Testis lies within the abdomen, or where the ultrasound is inconclusive, MRI is the investigation of choice.