Orchidopexy for incompletely descended testis is done after the age of: September 2011
**Core Concept**
Cryptorchidism, also known as undescended testes, occurs when one or both testes fail to descend into the scrotum. Orchidopexy is a surgical procedure used to correct this condition by bringing the testis into the scrotum. The optimal timing for orchidopexy is crucial to maximize testicular function and minimize the risk of complications.
**Why the Correct Answer is Right**
The American Academy of Pediatrics recommends that orchidopexy be performed before the age of 18 months for incompletely descended testis. This is because early surgery can improve testicular function, fertility, and reduce the risk of testicular cancer. Delaying surgery beyond 18 months may lead to decreased testicular function and an increased risk of complications.
**Why Each Wrong Option is Incorrect**
**Option A:** Performing orchidopexy after the age of 3 years may lead to decreased testicular function and increased risk of testicular cancer.
**Option B:** There is no specific age limit below which orchidopexy should not be performed, but early surgery is generally recommended.
**Option C:** Orchidopexy can be performed at any age, but early surgery is preferred to maximize testicular function.
**Clinical Pearl / High-Yield Fact**
The "12-month rule" is a helpful mnemonic to remember the optimal timing for orchidopexy: if the testis has not descended by 12 months of age, surgical intervention should be considered.
**Correct Answer: A. 18 months.