Undescended testis, often known as cryptorchidism, is one of the most prevalent congenital disorders in male babies. It occurs when one or both testicles fail to enter the scrotum before birth. Though this ailment may scare parents, the good news is that there are excellent therapy options available to address the issue. Early detection and treatment can prevent complications and promote the child’s healthy development.
In this blog, we will go over all you need to know about treating undescended testicles in children, from the causes to the potential surgeries and recuperation advice.
What Is an Undescended Testis?
During fetal development, a baby’s testicles typically form in the abdomen and gradually descend into the scrotum before birth. However, in some cases, this descent does not occur as expected. Cryptorchidism can affect one or both testicles and is more common in premature infants.
If untreated, the condition can lead to complications such as infertility, increased risk of testicular cancer, and hernias. This makes early medical intervention critical.
Symptoms and Diagnosis
Undescended testis is often identified during routine newborn examinations. The following signs may indicate the presence of cryptorchidism:
- Absence of one or both testicles in the scrotum
- A smaller or less developed scrotum on one side
- A testicle that appears to be “missing”
To confirm the diagnosis, your doctor may recommend:
- Physical Examination: A thorough check of the groin and scrotum.
- Ultrasound: To locate the undescended testicle.
- Laparoscopy: A minimally invasive procedure used in some cases to locate the testis and assess its condition.
When Should Treatment Begin?
Treatment ideally starts between 6 months and 1 year of age, as delaying intervention may increase the risk of complications. Addressing the condition early maximizes the likelihood of normal testicular function and development.
Treatment Options
1. Watchful Waiting
In some cases, the testicle may descend on its own during the first few months of life. However, if the testis remains undescended beyond 6 months, medical intervention becomes necessary.
2. Hormonal Therapy
Hormonal injections such as human chorionic gonadotropin (hCG) are sometimes used to stimulate testicular descent. However, this method is less commonly recommended as the primary treatment and is usually considered only in specific situations.
3. Surgical Treatment (Orchiopexy)
Surgery is the most effective and commonly used treatment for undescended testis.
- What is Orchiopexy?
Orchiopexy is a minimally invasive procedure where the surgeon locates the undescended testicle and moves it into the scrotum. It is usually performed under general anesthesia. - Procedure Details:
- A small incision is made in the groin or abdomen.
- The testicle is gently moved to its correct position in the scrotum and secured.
- Laparoscopy may be used if the testis is located deep within the abdomen.
- Recovery Time:
Most children recover quickly, with minimal discomfort. The procedure typically requires only a short hospital stay or is done as an outpatient surgery.
4. Surgical Removal
In rare cases where the testicle is non-functional or abnormally developed, removal may be recommended to prevent future complications.
Post-Treatment Care
After treatment, follow-up care is crucial to monitor the testicle’s health and development. Your pediatric urology specialist may recommend:
- Regular check-ups to assess the position and size of the testicle.
- Counseling and education for parents about signs of complications.
- Ensuring a healthy lifestyle to support overall development.
Why Early Treatment Matters
Delaying treatment for an undescended testis can result in:
- Infertility: Testicles need to be in the scrotum to function properly and produce healthy sperm.
- Testicular Cancer: Boys with untreated cryptorchidism have an increased risk of testicular cancer later in life.
- Hernias or Testicular Torsion: An undescended testis can lead to other complications, such as hernias or torsion, causing pain and additional medical issues.
Consult a Specialist for the Best Care
If your child has been diagnosed with an undescended testis, consulting an experienced pediatric urology specialist is essential. With expertise and compassion, they can guide you through the best treatment options tailored to your child’s needs.
Why Choose Dr. Apoorva Kulkarni?
For parents seeking expert care, Dr. Apoorva Kulkarni, the Best Pediatric Urology Specialist in Thane, offers unparalleled expertise in the diagnosis and treatment of undescended testis. With a patient-centered approach and a strong track record of successful outcomes, Dr. Kulkarni ensures that every child receives the best possible care.
Schedule a consultation today to give your child the healthy future they deserve!