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Surgery Testis & Scrotum 74929727

Which of the following is not true about undescended testes?

A
Surgery for undescended testes does not decrease the chances of development of testicular carcinoma
B
Approximately 70% of the crytorchid testes descend by 3 months of age
C
Risk of developing testicular malignancy is about 20 times more
D
Patients have normal secondary sexual characteristics
High-Yield Explanation
Ans is 'c' i.e., Risk of developing testicular malignancy is about 20 times more "All types of malignant testicular tumors are more common in incompletely descended testes even if they have been brought down surgically. However it does improve the prospect of early diagnosis." -- Bailey* Risk of developing testicular malignancy is about 40 times (not 20 times) more.Undescended testis* In undescended testis - the testes is arrested in some part of its path to the scrotum.* In Ectopic testis - the testis is abnormally placed outside its path.* Retractile testis - in infancy 80% of inapparent testis are retractile testis and require no t/t.* Approx 70-77% of cryptorchid testes will spontaneously descend, usually by 3 months of age.* More common in preterm, small for gestational age, LEW & twin neonates.* More common on Rt. Side** Secondary sexual characterstics are normal* Complications of incomplete descenti) Torsion of testisii) Epididymo-orchitisiii) An associated indirect inguinal hernia is frequentiv) Atrophyv) Pain - A testis situated in the inguinal canal is often liable to trauma and give rise to pain in the groinvi) Sterility - If the condition is bilateralvii) Malignancy - risk is 40 times more than a normally placed testis.

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