Treatment of Undescended Testicles

The treatment of undescended testicles, or cryptorchidism, usually depends on the age of the patient and the severity of the condition. Cryptorchidism refers to a condition in which one or both testicles have not descended from the abdominal cavity into the scrotum by birth or by the age of one. This condition needs to be treated as it can lead to fertility problems and an increased risk of testicular cancer later in life.

HOW IS CRYPTORCHIDISM TREATED?

Monitoring development: In some cases, the testicles may descend into the scrotum on their own within the first six months of life. Therefore, the doctor may recommend regular monitoring to see if the problem resolves spontaneously. Hormonal therapy: For children older than six months to one year, the doctor may recommend hormonal therapy that can stimulate the descent of the testicle into the scrotum. Hormonal therapy usually lasts several weeks. Surgical intervention: If the testicles do not descend on their own or do not respond to hormonal therapy, the doctor may recommend surgical intervention, which is usually performed before the first birthday. A procedure known as orchidopexy is used to bring the testicle down from the abdominal cavity into the scrotum. If necessary, both testicles can be brought down during the same procedure.

HOW IS ORCHIDOPEXY PERFORMED?

The procedure is usually performed under general anesthesia, and the key elements of the procedure are:

Patient preparation: Before surgery, the patient will undergo basic medical examinations and assessments to ensure they are in good health for surgery. Anesthesia: The patient will be given anesthesia to ensure that the procedure is completely painless. Access to the testicle: The surgeon will make an incision in the scrotum to gain access to the testicle. Locating the testicle: The surgeon will carefully search for the testicle within the abdominal cavity or inguinal canal. If the testicle is found in the abdominal cavity, the surgeon will carefully move it towards the scrotum. Testicle fixation: Once the testicle is brought down into the scrotum, the surgeon will fixate it to ensure it remains there. A stitch is usually used to help keep the testicle in the scrotum. Closing the incision: After the testicle is fixed, the surgeon will carefully close the incision on the scrotum with stitches. Post-operative care: After the procedure, the patient will recover in the clinic until they awaken from anesthesia. Doctors will provide appropriate instructions for care and recovery at home, including care for the incision and limiting physical activity to facilitate the healing process.