3 Cryptorchidism (Undescended Testes) Nursing Care Plans

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Cryptorchidism (Undescended Testes) is a condition present at birth in which one or both testes fail to descend through the inguinal canal into the scrotal sac. It is generally observed in preterm babies since the testes do not pass down from the abdomen to the scrotal sac until the seventh month of intrauterine life. Symptoms of undescended testes rarely cause discomfort. The entire scrotum, or one side, will appear smaller than normal and may appear incompletely developed.

If the testes do not descend spontaneously on the first 12 months of life, a child may receive human chorionic gonadotropin therapy or surgery (orchiopexy) that is performed between 1 to 2 years of age. Surgery prevents damage to the testes that may be affected by exposure to an increased temperature in the abdomen. In addition, early repair also prevents a negative effect on body image and embarrassment brought about by the difference in the appearance of the empty smaller scrotal sac. Undescended testes that are related to the presence of an inguinal hernia are repaired at the time of herniorrhaphy. Failure of the testes to descend can occur at any point along the normal path of descent into the scrotum.

Nursing Care Plans

The focus of nursing care planning in clients with cryptorchidism (undescended testes) is to provide preoperative and postoperative care, give emotional support regarding body image, decrease anxiety, and prevent the occurrence of complications.

Here are three (3) nursing care plans (NCP) and nursing diagnosis (NDx) for Cryptorchidism:

  1. Anxiety
  2. Risk for Infection
  3. Risk for Impaired Skin Integrity
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Risk for Infection

Risk for Infection: At increased risk for being invaded by pathogenic organisms.

May be related to

  • Inadequate primary defenses (broken skin)

Possibly evidenced by

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  • [not applicable]

Desired Outcomes

  • Client will not experience any signs of infection.
  • Parents/child will identify measures to reduce risk of infection.
Nursing InterventionsRationale
Assess wound for tenderness, redness, swelling, increased local temperature, odor, and formation of pus.Reveals signs of infection at the wound area.
Carefully cleanse the perineal area of any urine or stool as needed; teach parents.Prevents risk of contamination and occurrence of infection.
Apply ice or a cold pack on the scrotal area for 10 to 20 minutes postoperatively as ordered.Decreases swelling.
Administer antibiotic therapy as ordered.Prevents or treats infection by preventing the proliferation of microorganisms.
Reinforce the importance of finishing the complete course of antibiotic therapy.Prevents recurrence of infection and development of antibiotic resistance.
Educate the child to use clean undergarments or parents to change child’s diaper frequently and not leave the child in a soiled diaper.Promotes cleanliness of the incision area and prevents contamination.
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