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Undescended Testes

Treatment Name

Undescended Testes

Doctor Name

Dr. Adil Shafi

Undescended Testes

Introduction:

Undescended testes, also known as cryptorchidism, is a congenital condition where one or both testes fail to descend into the scrotum during fetal development. This condition requires medical evaluation and intervention to prevent potential complications and ensure proper testicular function.

Understanding Undescended Testes:

During fetal development, the testes form within the abdomen and gradually descend into the scrotum before birth. In cases of undescended testes, one or both testes remain in the abdomen or fail to fully descend into the scrotum. This condition may resolve spontaneously in some infants within the first few months of life, but if the testes remain undescended beyond infancy, medical intervention is necessary.

Characteristics of Undescended Testes:

  • Unilateral or Bilateral: Undescended testes may affect one or both testes, with unilateral cases being more common.

  • Palpable or Non-Palpable: The undescended testicle may be palpable within the inguinal canal or abdomen during physical examination, or it may be non-palpable if located deeper within the abdomen.

Causes and Risk Factors:

  • Hormonal Factors: Disruptions in hormonal signaling during fetal development can affect the descent of the testes into the scrotum.

  • Genetic Factors: Undescended testes may occur more frequently in infants with a family history of the condition or other congenital abnormalities.

Signs and Symptoms:

  • Absence of Testes in Scrotum: The primary sign of undescended testes is the absence of one or both testes in the scrotum at birth or during physical examination.

  • Palpable Mass: In cases where the undescended testicle is palpable, a firm, non-tender mass may be felt in the groin or lower abdomen.

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Treatment Options:

  • Hormonal Therapy: In some cases, hormonal therapy with human chorionic gonadotropin (hCG) may be used to stimulate testicular descent in infants with undescended testes.

  • Orchiopexy Surgery: Orchiopexy is a surgical procedure performed to bring the undescended testicle into the scrotum and secure it in place. This procedure is typically recommended between 6 to 12 months of age to optimize testicular function and reduce the risk of complications.

Prevention:

  • Early Intervention: Timely evaluation and treatment of undescended testes in infancy can help prevent complications such as infertility, testicular torsion, and an increased risk of testicular cancer later in life.

Frequently Asked Questions:

  • Q: Can undescended testes affect fertility?
  • A: Yes, undescended testes can impact fertility if left untreated. Proper testicular positioning and function are essential for sperm production and fertility. Early intervention with orchiopexy surgery can help preserve testicular function and fertility potential.
  • Q: Is orchiopexy surgery always necessary for undescended testes?
  • A: Orchiopexy surgery is the standard treatment for undescended testes to ensure proper testicular positioning and function. While some cases may resolve spontaneously, surgical intervention is typically recommended to reduce the risk of complications and optimize long-term outcomes.