What should be done for a persistent undescended testicle?

A persistent undescended testicle, also known as cryptorchidism, requires intervention to prevent potential complications such as infertility, testicular cancer, and torsion. Orchiopexy, which is the surgical procedure to reposition and secure the testicle in the scrotum, is the recommended management for this condition, particularly if the testicle has not descended by 6 months of age.

The rationale for surgical correction is based on the understanding that the higher temperature within the abdomen compared to the cooler scrotal environment can impair testicular function and development. By performing orchidopexy, the testicle is brought into a location that supports normal development and function, significantly reducing the risk of future complications.

Observation until puberty might seem like a plausible option, but it risks allowing the testicle to remain in a high temperature environment for too long, which could result in functional impairment. Similarly, radical orchiectomy is not indicated for an undescended testicle as it removes the testicle rather than addressing the issue of its position. Ultrasound monitoring does not resolve the problem and just provides observation without any action to rectify the situation. Hence, the most appropriate action for a persistent undescended testicle is indeed orchidopexy