Ectopic testes, bilateral
ICD-10 Q53.02 is a billable code used to indicate a diagnosis of ectopic testes, bilateral.
Ectopic testes, or ectopic testis, is a congenital condition where one or both testes fail to descend into the scrotum and instead are located in an abnormal position. In the case of bilateral ectopic testes, both testes are affected. This condition is often associated with other congenital malformations of the genital organs, such as hypospadias, cryptorchidism, and ambiguous genitalia. The failure of the testes to descend can lead to complications such as infertility, testicular torsion, and an increased risk of testicular cancer. Diagnosis typically involves physical examination and imaging studies, such as ultrasound. Treatment usually requires surgical intervention, often through orchidopexy, to reposition the testes into the scrotum. Early diagnosis and management are crucial to prevent long-term complications and to ensure normal development of the male reproductive system.
Detailed physical examination findings, including testicular location and size, and any associated anomalies.
A pediatric patient presenting with bilateral ectopic testes during a routine examination or following parental concern about abnormal genitalia.
Consideration of the patient's age and developmental milestones when planning surgical intervention.
Family history of congenital anomalies, genetic testing results if applicable, and any syndromic associations.
A child with bilateral ectopic testes presenting with other congenital anomalies, prompting genetic evaluation.
Awareness of syndromes associated with ectopic testes, such as Klinefelter syndrome or other chromosomal abnormalities.
Performed to correct bilateral ectopic testes.
Operative report detailing the procedure and findings.
Pediatric urologists should document any associated anomalies.
Common complications include infertility, testicular torsion, and an increased risk of testicular cancer. Early surgical intervention is crucial to mitigate these risks.
