Children with Undescended Testis - Treatment, Surgery, Followup

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

Anogenital Disorders in Children

Undescended Testis in Children

Pediatric Anogenital Disorders

Circumcision and Penile Hygiene

Undescended testis in Children

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UNDESCENDED TESTIS IN CHILDREN

Related Topics

How Testicles Normally Descend and When does not Descend

Retractile and Undescended Testicle

Treatment in Undescended Testicle

DR. Santosh Karmarkar
Consultant Pediatric Surgeon,
B. J. Wadia Children's Hospital.

Q) Why treatment is needed?
A) If the testicle doesn't descend on its own, it should be treated. Your doctor will discuss the best time with you. The longer a testicle remains outside the scrotum, the more likely it is that it will produce fewer sperms. An undescended testicle has a higher risk of cancer. This is true even after the testicle is brought down into the scrotum. The testicle down makes a problem easier to find.

An undescended testicle can leave a small tear (hernia) in the wall between the abdomen and the groin. The hernia needs to be treated to prevent future problem.

Surgery
The testicle is brought down into the scrotum during surgery. Rarely, a testicle is malformed and must be removed.

You and your son are asked to arrive at the hospital or surgery centre on the previous night/ morning of surgery. An opening (incision) is made in the groin or abdomen. Another small incision is made in the scrotum.

The testicle is detached from the tissue around it. Then it is brought down and stitched to the wall of the scrotum. In case the testis could not be fully brought down it may be fixed just above the scrotum.

In case the testis could not be brought down and is defective or too small it may have to be removed.

Surgery - UNDESCENDED TESTIS IN CHILDREN

After surgery
Your son is likely to go home on the same day after surgery. Rarely, if there is some swelling then the doctor may ask you to stay overnight. He should be feeling better in 2 to 3 days.

The doctor may prescribe medication to relieve any pain your child has. Be sure to use it as directed. The stitches will dissolve or be removed 7 to 10 days after surgery.

Follow up
Your son should have his testicle examined for several years after the operation to see whether the testicle is growing well.

But rest assured that your son could lead a normal adult's life.

In cases where the testicle had to be removed, an artificial testicular prosthesis of appropriate size may be inserted when the child is older. These testicular implants are easily available.

See Expertise Views On "Undescended Testis"

Last created on 23-02-2001
Last updated on 20-04-2007

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