If bilateral nonpalpable testes, check HCG to see if serum testosterone rises. If it does not, no testicular tissue exists.
New treatment: HCG or leutenizing hormone-releasing hormone as initial treatment, still controversial and more likely to work with bilateral cryptorchidism
Most common treatment: orchidopexy during second year of life with closure of patent processus vaginalis. Place testicle in dartos muscle pouch.
Atrophic testes or found in late puberty – orchiectomy, laparoscopic or open
Prognosis: after orchidopexy, 80-90% of boys with unilateral cryptorchidism are fertile; 50% with bilateral cryptorchidism are fertile
Testosterone and secondary sex characteristics are unaffected