Testicles are male gonads that are enclosed in a sac called the scrotum. They are normally formed in the abdominal region and descend into the scrotum just before birth. When the testicles fail to reach the normal position in the scrotum, it is called undescended testes. The exact cause of undescended testes is unknown, but may occur due to maternal health, environmental and genetic factors.
An undescended testis does not cause pain, but the scrotum appears less developed (smaller and flatter) on the side where the testicle has not descended. It can involve either one or both testicles. Retractile testicle is condition where the undescended testicles may move back and forth into the scrotal sac.
When your child presents with undescended testicles, your child’s doctor conducts a through physical examination to check if the testes can be felt (palpable) near the scrotum, or higher up the abdomen or groin. Imaging tests, such as an ultrasound or CT scan may be ordered to determine the position of the undescended testes. Sometimes, the location of the testicles are investigated by laparoscopy (thin lighted tube with a camera is inserted through a small incision in the abdomen to view the abdomen) or open surgery (through a larger incision).
Undescended testes generally move down into the scrotum naturally by the time the child is 3-6 months old. In other situations, treatment may be necessary to prevent future risk of injury, infertility or cancer. In some cases, hormone therapy can guide the testes into the scrotum. Orchiopexy is a surgical procedure that involves moving an undescended testicle into the scrotum and stitching it into place.
NMC UroCare provides specialized and experienced urologists and the best quality treatments. For further information regarding Undescended Testes please contact NMC UroCare.