Definition: When one or both testicles do not
descend completely into the scrotum.
1. What caused this condition?
There are many theories as to what causes an undescended testis. Some
include decreased intraabdominal pressure during the third trimester of
pregnancy to push the testis from the abdominal cavity to the scrotum.
Some feel that there may be a decreased amount of male hormone such
as testosterone during the descent of the testis. However, there is no
unifying theory or answer to the cause of undescended testes.
2. Is there a danger of sterility or any other problem
as a result of this condition?
If the testicle is undescended only on one side, the fertility rate is the
same as a normal population. If there is an undescended testis on both
sides, the most current data suggests that fertility is only approximately 65 percent to 70 percent. Testis cancer risk is elevated in adult
men who have a history of an undescended testis.
3. Will an operation be necessary to correct this
condition and, if so, when?
If the testicle is not in the scrotum by approximately nine months of
age, then an operation is necessary to position the testicle in the
scrotum where it will grow and develop normally. If the testicle is
nonpalpable (cannot be felt on examination of the body), then the
operation is usually performed at approximately six months of age.
4. When do we need to consult a surgeon?
Generally if a child has an undescended testis, we would like to see the child
at a time convenient for the family. Any time between two and six months
of age is a good time to have a surgeon initially evaluate the situation.
5. Are there any medicines that can be used to help
bring down the testicle(s)?
No.
6. Are there any danger signs that I should look for?
Yes. Most boys who have an undescended testis have a small hernia that
coexists with the undescended testis. If there appears to be swelling or
tenderness in the groin area suggestive of a bulge or hernia, then this
would suggest that the surgery should be done immediately, as this type of
hernia can potentially damage or cause loss of the testicle. Rarely an
undescended testis can twist (testis torsion) and cause swelling and pain.
7. Following discharge from the hospital, when do
you wish to see my baby again?
After discharge, we would like to re-examine the baby in two to three
months.
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1 comments on "UNDESCENDED TESTICLE(S)"
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