Cryptorchidism

how is cryptorchidism diagnosed

The cremasteric reflex placing child in a squatting or cross-legged sitting position prior to checking the position of the testes. Retractile testes can be milked or pushed back into the scrotum True undescended testes cannot

The child with cryptorchidism is being discharged after orchiopexy, which was performed on an outpatient basis. The nurse should reinforce instructions to the parents about which priority care measure? 1.measuring intake and output 2.administering anticholinergics 3.preventing infection at the surgical site 4.applying cold, wet compresses to the surgical site

3.preventing infection at the surgical site

The nurse is assigned to care for an infant with cryptorchidism. One testis cannot be palpated. The nurse anticipates that which diagnostic study will be prescribed to determine where the undescended testis is located in the body? 1.cystocopy 2.abdominal x-ray 3.urodynamic study 4.computed tomography scan

4.computed tomography scan

The nurse is assigned to care for a 2-year-old child who has been admitted to the hospital for surgical correction of cryptorchidism. What is the highest priority in the postoperative plan of care for this child? 1.force oral fluids. 2.encourage coughing. 3.test the urine for glucose. 4.prevent tension on the suture

4.prevent tension on the suture

The nurse is aware of which statement to be true regarding the incidence of testicular cancer? A. Testicular cancer is the most common cancer in men aged 30 to 50 years. B. The early symptoms of testicular cancer are pain and induration. C. Men with a history of cryptorchidism are at the greatest risk for the development of testicular cancer. D. The cure rate for testicular cancer is low.

C. Men with a history of cryptorchidism are at the greatest risk for the development of testicular cancer.

The nurse is providing discharge instructions to the parents of a 2-year-old child who had an orchiopexy to correct cryptorchidism. Which statement by the parents indicate that further teaching is necessary? A. "I'll check his temperature." B. "I'll give him medication, so he'll be comfortable." C. "I'll check his voiding to be sure there's no problem." D. "I'll let him decide when to return to his play activities."

D. "I'll let him decide when to return to his play activities."

Post op care for orchiopexy

Ice packs monitor for bleeding and infection

Orchiopexy surgical repositioning of the testes is performed when testes are ________

Palpable

Who gets cryptorchridism

Preterm boys usually before 1 yr

Post op nursing interventions for cryptorchidism

Prevent infection antibiotics pain control analgesics Child should avoid vigorous activity for 2-4 weeks post op Teach child self-examination at puberty Malignancy may occur if testes remain in abdomen No straddling toys

parents report intermittently observing the testes in the scrotum- with period when they cannot be visualized

Retractile Testis

Why are preterm babies more prone to cryptorchidism

don't have enough time to descent down to scrotum.

If testes not palpable then what

exploratory surgery may be required

Complication of cryptorchridism

infertility d/t sperm being in warmer environment Testicular cancer

A mother of a full-term newborn asks the nurse if her child's cryptochidism will need to have surgical intervenion. What is the best response from the nurse? A. this will probably need to be corected as soon as possible to prevent reproductive problems later in life. B. This would only be a concern if the baby was premature C. This is something that should be monitored during your well baby check ups. The problem may resolve spontanously over time. D. Surgery is only needed for cosmetic purposes. This will be a decision you will need to speak with your doctor about.

A. this will probably need to be corrected as soon as possible to prevent reproductive problems later in life

When will retractile testis be best visualized

When the child is bathed in warm water

Before assessing an infant for cryptorchidism the nurse should: A. Allow the child to deficate B. Allow the child to void C. palpate the inguinal canals D. provide a warm enviroment

D. provide a warm environment