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ISSN 0973 - 0958
Genital Problems in
Children
Absence of Testis from
Scrotum
Circumcision in Children
Acute Swelling and Pain
in Scrotal Region
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ABSENCE OF TESTIS FROM SCROTUM
Dr. Vivek M. Rege
Pediatric Surgeon & Pediatric Urologist
B J Wadia Hospital For Children, Hurkisondas Hospital, Wockhardt Hospital, Mumbai
This condition occurs only in boys for obvious reasons. Parents may notice that one or both testes may be missing from their normal location in the scrotum. This defect is usually present from birth, though may be noticed as late as 3 - 4 years. The incidence of this defect in full term boys is about
Pediatric Surgeon & Pediatric Urologist
B J Wadia Hospital For Children, Hurkisondas Hospital, Wockhardt Hospital, Mumbai
This condition occurs only in boys for obvious reasons. Parents may notice that one or both testes may be missing from their normal location in the scrotum. This defect is usually present from birth, though may be noticed as late as 3 - 4 years. The incidence of this defect in full term boys is about
3 %, but, in prematures is as high a 30%. The reason is based on natural embryology in a boy. The testes are formed within the abdomen just below the developing kidneys. As the fetus grows, the testes descend down towards the groin or inguinal region around the 7th month. Around the 9th month, or, just before birth, they come out of the inguinal canal and descend down into the scrotum. Hence the very high incidence of nondescent of testes in prematures born at 8 - 9th month.
In some boys, for many reasons both hormonal and/or mechanical, the testes on one or both sides may not descend normally into the scrotum. This results in absence of testis on one or both sides. The absent testis can be anywhere along the normal course of descent.
In those boys in whom a testis is not seen or felt on one or both sides, there are four basic possibilities and the goal is to find out which of these and treat it accordingly:
1. Retractile testis
2. Ectopic testis
3. Undescended testis
4. Absent testis.
In some boys, for many reasons both hormonal and/or mechanical, the testes on one or both sides may not descend normally into the scrotum. This results in absence of testis on one or both sides. The absent testis can be anywhere along the normal course of descent.
In those boys in whom a testis is not seen or felt on one or both sides, there are four basic possibilities and the goal is to find out which of these and treat it accordingly:
1. Retractile testis
2. Ectopic testis
3. Undescended testis
4. Absent testis.
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