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A 48-year-old member asked:

how do you treat an undescended testicle?

2 doctor answers6 doctors weighed in
Dr. David Vandersteen
Pediatric Urology 31 years experience
Orchiopexy: If the testis is truly undescended (not retractile), then an orchiopexy should be performed. It is generally done through a small groin incision with an additional incision in the scrotum. It is very well tolerated in small children with minimal pain and rapid recovery. It is most commonly performed around 1 year old. If the testis is abdominal a laparascopic approach may be utilized.
Dr. George Klauber
Specializes in Pediatric Urology
Surgery can safely and perhaps optimally be performed at age-6-months, in previously full-term infant, with both a dedicated pediatric anesthesiologist + a pediatric urologist or pediatric surgeon experienced at performing orchidopexy surgery in small babies
May 23, 2012
Dr. George Klauber
Specializes in Pediatric Urology
Orchidopexy surgery: Surgical approach depends upon position of undescended testicle. Intra-abdominal or high intra-canalicular testes are sometimes best managed laparoscopically. However, most undescended testes are brought down by performing an inguinal orchidopexy. Best performed after age-6-months if child was born at term, by one year if born prematurely. Otherwise, soon after diagnosis if diagnosis is made later.

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A 21-year-old member asked:

How will my lifestyle be impacted if I have lost a testicle or have a weakened testicle?

2 doctor answers5 doctors weighed in
Dr. Kenneth Cheng
Family Medicine 31 years experience
None at all: Loss or atrophy of a single testicle will not impair your ability to father children (assuming the other testicle is normal) nor will it affect erections. If the appearance of a lost or atrophied testicle is bothersome, speak with a urologist to find out what options are available for you.
A 21-year-old member asked:

Why do you have to remove the whole testicle?

2 doctor answers2 doctors weighed in
Dr. Stephen Noga
Medical Oncology 34 years experience
Relapse risk: There is usually some cancer cells still lurking in the testicle that can later spread so common practice, especially in a paired organ is to remove the entire testicle.
CA
A 25-year-old member asked:

Could BPH be making my right testicle much larger than my left one?

3 doctor answers7 doctors weighed in
Dr. Moez Khorsandi
Urology 27 years experience
No: BPH is a benign enlargement of the prostate gland. The testicle sewlling is usually from other causes such as hydrocele, trauma, or cancer. If there is a discrepency in the size of your testicloe, see your physician for further testing.
CA
A 35-year-old member asked:

If one testicle is bigger than the other, is it likely to be cancer?

2 doctor answers6 doctors weighed in
Dr. Robert Kwok
Pediatrics 33 years experience
If growing bigger: If one testicle is growing bigger than the other one, after puberty, there could be a tumor in the growing testicle. A doctor's evaluation is needed. A ultrasound scan can be done. If a child developed one small and one bigger testicle, but they stayed the same size after puberty, they are likely ok. However, if the smaller one then grows to match the bigger one, a doctor can check for cancer.
A 26-year-old member asked:

Is it unusual for one of my testicles to be large and hard and the other to be small and soft?

2 doctor answers2 doctors weighed in
Dr. Howard Adler
Urology 31 years experience
No: An enlarged and hard testicle suggests the presence of a mass that may be testicular cancer. This should be evaluated urgently by your physician who will likely order a scrotal ultrasound after examining you.

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Last updated Apr 10, 2014
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