Undescended Testis

Undescended testis

An undescended testis, also known as cryptorchidism, is a condition where one or both testicles fail to descend into the scrotum before birth. This condition is more common in premature infants but can occur in full-term babies as well. Dr. Prabhat Ranjan, an expert urologist, specializes in the diagnosis and treatment of undescended testis, ensuring effective management to prevent complications.

Common Causes of Undescended Testis

Symptoms of Undescended Testis

The primary symptom of undescended testis (cryptorchidism) is the absence of one or both testicles in the scrotum at birth. The testicle may be felt in the inguinal canal, lower abdomen, or other parts along the descent path, but it fails to descend into the scrotum. In some cases, the testicle may be palpable in the groin area, causing swelling or discomfort. While the condition is often discovered during routine physical exams, parents may notice that one or both testicles are missing or not properly positioned. In cases where the testicle is not easily felt, a healthcare provider may use ultrasound or laparoscopy to locate it. If the testicle is in an abnormal position, it may lead to pain or tenderness during physical activities, especially in the groin or lower abdomen. Although fertility issues are not immediately apparent, an undescended testis can affect testicular function over time, potentially leading to infertility if untreated. Additionally, this condition increases the risk of complications like testicular cancer, inguinal hernia, or testicular torsion, which is a painful twisting of the testicle that can result in loss of function. Early diagnosis and treatment, such as surgery (orchidopexy), are critical to preventing long-term problems.

 

Diagnosis and Treatment Options

  • Physical Examination: The doctor will palpate the groin and abdomen to locate the undescended testicle.
  • Ultrasound: To confirm the position of the testicle.
  • Laparoscopy: In some cases, a minimally invasive procedure to locate the testicle.

Treatment Options

  • Hormonal Therapy: To stimulate testicular descent in some cases.
  • Surgery (Orchidopexy): The most common treatment to move the testicle into the scrotum, usually performed between 6-12 months of age.
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