Editing Undescended Testicle (section)

=== Options ===
*'''Observation''' 
**'''Indications (1)'''
***'''First 6 post-natal months (corrected for gestational age) to allow spontaneous testicular descent'''
**** No strong evidence in support of observation as the recommended approach for cases of acquired cryptorchidism.
* '''Medical Therapy'''
** '''Hormone therapy is not recommended'''
***Lack of rigorous data supporting its efficacy
* '''Surgery (orchiopexy/orchidopexy)'''
**'''If spontaneous testicular descent does not occur, surgical treatment after 6 months of (corrected gestational) age is indicated.'''
*** In boys with a history of prematurity, spontaneous descent may be delayed, and therefore observation is continued for 6 months beyond the expected date of delivery or, especially if testicular position is marginal, until a year of age.
*** '''After spontaneous testicular descent, continued observation is needed because of the risk for recurrent cryptorchidism or testicular re-ascent'''
**'''Timing of Surgery'''
***'''Orchidopexy is recommended between 6-18 months of age'''
**** '''Testicular descent is unlikely to occur in full-term babies after 6 months of age'''
**** '''Consider surgical morbidity, comorbidities, life expectancy, and fertility expectations in special situations'''
***** '''UDT is associated with a multitude of syndromes, some of which can lead to limited life expectancy and/or severe developmental delay (e.g., Down’s, Prader-Willi, and Noonan’s syndromes)'''
***** Given the reports of testicular cancer (sometimes at an early age) in these patients, '''we recommend orchidopexy when they are clinically fit for anesthesia for the purpose of surveillance'''