Undescended testicle, bilateral
ICD-10 Q53.2 is a billable code used to indicate a diagnosis of undescended testicle, bilateral.
Bilateral undescended testicles, also known as bilateral cryptorchidism, is a congenital condition where both testicles fail to descend into the scrotum by the time of birth. This condition is prevalent in premature infants and can lead to complications such as infertility, testicular cancer, and hernias if not treated. The testicles typically descend during the last trimester of pregnancy, and if they do not, the condition may be associated with other congenital malformations, including hypospadias and ambiguous genitalia. Diagnosis is usually made through physical examination, and treatment often involves surgical intervention, such as orchidopexy, to reposition the testicles into the scrotum. Early intervention is crucial for optimal outcomes, and ongoing monitoring is recommended to assess for potential complications. The condition may also be linked to genetic factors, necessitating a thorough evaluation of family history and potential chromosomal abnormalities.
Detailed physical examination findings, family history, and treatment plans must be documented.
Infants presenting with bilateral undescended testicles during routine examinations or referrals for surgical intervention.
Consideration of associated conditions such as hypospadias or hernias, and the need for multidisciplinary care.
Documentation of genetic counseling sessions, family history of congenital conditions, and any genetic testing results.
Cases where bilateral undescended testicles are part of a syndrome or associated with chromosomal abnormalities.
Assessment for genetic syndromes that may present with cryptorchidism, such as Klinefelter syndrome.
Performed to correct bilateral undescended testicles.
Operative report detailing the procedure and findings.
Pediatric urologists typically perform this procedure.
Bilateral undescended testicles can lead to infertility, increased risk of testicular cancer, and hernias if not treated. Early surgical intervention is crucial to mitigate these risks.
