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.
Risk for Impaired Skin Integrity
- Risk for Impaired Skin Integrity
May be related to
- External factor of surgical incision
Possibly evidenced by
- [not applicable]
- Client/caregivers will understand and demonstrate behaviors or methods to avoid skin breakdown or help healing process.
|Assess incision site, observe for formation of hematoma, swelling, and presence of bleeding and wound drainage.||Initially, swelling and bruising near the incision area is normal and will disappear after several days.|
|Instruct the mother about the importance of proper nutrition and adequate fluid intake.||Poor nutritional intake increases the risk of skin breakdown and weakens healing process.|
|Provide routine incisional care.||Promotes healing and fasten recovery.|
|Stress the importance of keeping the wound clean and dry. The incision should not be soaked for about 5 days.||Prolonged exposure to moisture makes the skin soften and swell causing a break in the integrity of the skin.|
|Instruct caregiver to not remove the white strips or clear plastic dressing.||The incision may be covered with small|
pieces of tape (Steri-Strips) and a clear dressing that should be left in place since these will come off on their own and will not need to be replaced.
|Instruct mother to keep the child’s fingernails short or to use gloves when severe itching is present.||Decreases the risk of dermal injury.|
|Educate caregivers on skin and wound assessment and to watch out for signs and symptoms of infection, complications, and healing.||Early assessment prompts immediate intervention thus preventing the occurrence of complications.|
Recommended nursing diagnosis and nursing care plan books and resources.
- Nursing Care Plans: Nursing Diagnosis and Intervention (10th Edition)
An awesome book to help you create and customize effective nursing care plans. We highly recommend this book for its completeness and ease of use.
- Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions and Rationales
A quick-reference tool to easily select the appropriate nursing diagnosis to plan your patient’s care effectively.
- NANDA International Nursing Diagnoses: Definitions & Classification, 2021-2023 (12th Edition)
The official and definitive guide to nursing diagnoses as reviewed and approved by the NANDA-I. This book focuses on the nursing diagnostic labels, their defining characteristics, and risk factors – this does not include nursing interventions and rationales.
- Nursing Diagnosis Handbook, 12th Edition Revised Reprint with 2021-2023 NANDA-I® Updates
Another great nursing care plan resource that is updated to include the recent NANDA-I updates.
- Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5(TM))
Useful for creating nursing care plans related to mental health and psychiatric nursing.
- Ulrich & Canale’s Nursing Care Planning Guides, 8th Edition
Claims to have the most in-depth care plans of any nursing care planning book. Includes 31 detailed nursing diagnosis care plans and 63 disease/disorder care plans.
- Maternal Newborn Nursing Care Plans (3rd Edition)
If you’re looking for specific care plans related to maternal and newborn nursing care, this book is for you.
- Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care (7th Edition)
An easy-to-use nursing care plan book that is updated with the latest diagnosis from NANDA-I 2021-2023.
- All-in-One Nursing Care Planning Resource: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health (5th Edition)
Definitely an all-in-one resources for nursing care planning. It has over 100 care plans for different nursing topics.
Other recommended site resources for this nursing care plan:
- Nursing Care Plans (NCP): Ultimate Guide and Database
Over 150+ nursing care plans for different diseases and conditions. Includes our easy-to-follow guide on how to create nursing care plans from scratch.
- Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing
Our comprehensive guide on how to create and write diagnostic labels. Includes detailed nursing care plan guides for common nursing diagnostic labels.
Other nursing care plans for pediatric conditions and diseases:
- Acute Glomerulonephritis | 4 Care Plans
- Acute Rheumatic Fever | 4 Care Plans
- Apnea | 4 Care Plans
- Brain Tumor | 3 Care Plans
- Bronchiolitis | 5 Care Plans
- Cardiac Catheterization | 4 Care Plans
- Cerebral Palsy | 7 Care Plans
- Child Abuse | 4 Care Plans
- Cleft Lip and Cleft Palate | 6 Care Plans
- Congenital Heart Disease | 5 Care Plans
- Congenital Hip Dysplasia | 4 Care Plans
- Croup Syndrome | 5 Care Plans
- Cryptorchidism (Undescended Testes) | 3 Care Plans
- Cystic Fibrosis | 5 Care Plans
- Diabetes Mellitus Type 1 (Juvenile Diabetes) | 4 Care Plans
- Dying Child | 4 Care Plans
- Epiglottitis | 5 Care Plans
- Febrile Seizure | 4 Care Plans
- Guillain-Barre Syndrome | 6 Care Plans
- Hospitalized Child | 5 Care Plans
- Hydrocephalus | 5 Care Plans
- Hypospadias and Epispadias | 4 Care Plans
- Intussusception | 3 Care Plans
- Juvenile Rheumatoid Arthritis | 4 Care Plans
- Kawasaki Disease | 6 Care Plans
- Meningitis | 7 Care Plans
- Nephrotic Syndrome | 5 Care Plans
- Osteogenic Sarcoma (Osteosarcoma) | 4 Care Plans
- Otitis Media | 4 Care Plans
- Scoliosis | 4 Care Plans
- Spina Bifida | 7 Care Plans
- Tonsillitis and Adenoiditis | 4 Care Plans
- Umbilical and Inguinal Hernia | 4 Care Plans
- Vesicoureteral Reflux (VUR) | 5 Care Plans
- Wilms Tumor (Nephroblastoma) | 4 Care Plans