What is Undescended Testicle?

While a baby boy is growing in the womb, his testicles develop inside his belly. The testicles are the organs responsible for making testosterone and storing sperm. In most cases, the testicles move down from the belly into the scrotum (the small pouch of skin behind the penis) shortly before birth. If one or both testicles do not drop into this sac by the time the baby is born or within the first few months of life, the condition is called undescended testicles.

The medical term for this condition is cryptorchidism.

Are undescended testicles a serious medical issue?

If left untreated, undescended testicles can lead to health problems later in life. They can lower a person's testosterone levels and reduce the quality of their sperm. There is also a slightly higher risk of developing testicular cancer. However, seeking medical treatment early can significantly lower these risks and improve long-term health.

How common is this condition?

About 3% of full-term baby boys are born with undescended testicles. It is much more common in premature babies; up to 30% of boys born early may have testicles that haven't dropped yet. In about half of these babies, the testicles will move down into the proper position on their own within a few months.

What are the signs that a testicle hasn't dropped?

The main sign is that the scrotum looks or feels empty on one or both sides. Usually, there are no other symptoms. The condition does not cause the baby pain, nor does it make it difficult or painful for them to urinate.

What causes undescended testicles?

Doctors do not know the exact reason why this happens. It is believed that a lack of certain hormones (like testosterone) during development might play a role. It is important to know that there is no evidence that anything a parent does during pregnancy causes the testicles to stay up.

Who is most likely to be affected?

While any baby boy can be born with this condition, it is most frequently seen in babies who were born prematurely or with a low birth weight.

What problems can happen if they are not treated?

If the testicles remain outside the scrotum, the child may face a higher risk of:

• Testicular Cancer: This is most common in men between the ages of 15 and 35.
• Testicular Torsion: This happens when the cord that provides blood to the testicle twists, cutting off blood flow. This is a painful emergency that requires immediate care.
• Inguinal Hernia: This occurs when a small piece of intestine pushes through a weak spot in the groin muscle.
• Hypogonadism: This is a condition where the testicles do not produce enough testosterone.

How do doctors diagnose undescended testicles?

A doctor can usually tell if the testicles are down during a physical exam at birth or a routine check-up. If the doctor cannot feel the testicle in the scrotum, they may refer you to a pediatric urologist (a surgeon who specializes in children's reproductive and urinary systems). While imaging tests like an ultrasound are sometimes mentioned, they are usually not necessary for a diagnosis.

How is the condition treated?

The most effective treatment is a surgery called an orchiopexy. During this procedure, the doctor makes a small incision in the groin to find the testicle and another small incision in the scrotum to create a pocket. The testicle is then moved down and secured into the scrotum. If the doctor finds that the undescended testicle is damaged or not working, they may need to remove it.

At what age should treatment happen?

If the testicles have not dropped by the time the baby is 6 months old, it is unlikely they will move on their own. Most doctors recommend that the surgery be performed when the child is between 12 and 24 months old.

What is the long-term outlook?

Surgery is successful in about 98% of cases. After the procedure, the testicles usually grow normally and are able to produce healthy sperm. Because there is a slightly higher risk of cancer, boys should be taught how to do monthly self-exams when they reach their teenage years.

Can undescended testicles be prevented?

No, there is currently no known way to prevent this condition from occurring.

How should I care for my child during treatment?

It is natural for parents to feel anxious if their child needs surgery. You can help your child stay calm by staying calm yourself, as babies often pick up on their parents' emotions. Bringing a favorite book or toy to the doctor's office can help keep the child relaxed.

When should I call the doctor?

If your baby is 6 months old and the testicles have not dropped, schedule an appointment. After surgery, call the doctor if your child experiences:

• Heavy bleeding at the surgery site.
• Signs of infection, such as fever, chills, or unusual redness.
• Severe pain in the groin or hip area.

Can a person still have children with this condition?

Yes. If only one testicle is undescended, fertility rates are generally the same as those of other men. If both testicles were undescended (bilateral), the chances of having children later in life may be lower, but it is still often possible.

What is the difference between undescended and retractile testicles?

Retractile testicles are different. This is when a muscle reflex pulls the testicle up into the groin temporarily due to cold or touch. Retractile testicles move freely back and forth and usually stay down permanently once the child reaches puberty. Unlike undescended testicles, retractile testicles do not require surgery.

Why choose Tender Palm Super-Speciality Hospital for Undescended testicle treatment for children in Lucknow, India?

Tender Palm Super-Speciality Hospital offers advanced Undescended testicle treatment for children in Lucknow, India, at an affordable cost. We have a team of experienced pediatric urologists and pediatric surgeons who provide accurate diagnosis with advanced imaging, personalized medical care, and timely surgical treatment tailored to each child's specific condition. Our Pediatric Urology team has decades of experience in successfully treating Undescended testicle in Lucknow, India.

To seek an Expert Consultation for Undescended testicle treatment for children in Lucknow, India:

Call us at +91-9076972161
Email at care@tenderpalm.com

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