How do you treat an undescended testicle?

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.

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.