Undescended testicle (cryptorchidism)

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Risk factors

By Mayo Clinic staff

Low birth weight and premature birth are the best understood risk factors that may increase the likelihood of undescended testicle in a newborn. Other risk factors are not as well understood. Conditions that may increase the risk include:

  • Low birth weight
  • Premature birth
  • Family history of undescended testicle or other problems of genital development
  • Conditions of the fetus that can restrict growth, such as Down syndrome or an abdominal wall defect
  • Alcohol use by the mother during pregnancy
  • Cigarette smoking by mother or exposure to secondhand smoke
  • Diabetes in the mother — type 1 diabetes, type 2 diabetes or gestational diabetes
  • Parents' exposure to some pesticides
References
  1. Elder J. Disorders and anomalies of the scrotal contents. In: Kliegman R, et al. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa.: Saunders, Elsevier; 2007. http://www.mdconsult.com/das/book/body/102535550-2/0/1608/1246.html?tocnode=54484554&fromURL=1246.html#4-u1.0-B978-1-4160-2450-7..50547-8_9817. Accessed Aug. 15, 2008.
  2. Hutson JM, et al. Current management of the undescended testicle. Seminars in Pediatric Surgery 2007;16(1):64-70.
  3. Barthold JS. Undescended testis: Current theories of etiology. Current Opinion in Urology. 2008;18(4):395-400.
  4. Kelsberg G, et al. Clinical inquiries. When should a child with an undescended testis be referred to a urologist? Journal of Family Practice. 2006;55(4):336-337.
  5. Cooper, CS. Undescended testicle (cryptorchidism). www.uptodate.com/home/index.html. Accessed July 25, 2008.
  6. Esposito C, et al. Management of boys with nonpalpable undescended testis. Nature Clinical Practice Urology. 2008;5(5):252-60.
  7. Liptak GS. Genital defects. The Merck Manuals Online Medical Library. http://www.merck.com/mmhe/sec23/ch265/ch265d.html. Accessed Aug. 19, 2008.

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Oct. 16, 2008

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