Doctor insights on:
No: Hernia repair has no roll in fertility, however if some one has vericocele, ( means lot of veins in the the spermatic cord like vericose veins ) the heat generated by these veins may be interfering with sperm production , removing these veins may ' reverse infertility'. ...Read moreSee 1 more doctor answer
Repair: Enterocele is when the small bowel dips down into the pelvis and may prolapse out the vagina or other opening. Laparoscopic techniques involve minimally invasively (with small incisions and a camera) going in to fix the problem. It sometimes is associated with the repair of prolapse of other organs, and may involve the use of mesh. ...Read more
Post op pain: and burning are not uncommon; however, it is a good idea to call your surgeon and get rechecked. ...Read more
Many types: There are two main categories of repair - open and laparoscopic. Both are generally done as outpatient operations. The variety of open techniques are performed by about 80% is surgeons, and lap about 20%. Open techniques are slightly more painful and associated with a slightly longer recovery. ...Read moreSee 1 more doctor answer
It may not be...: Inguinal hernia repair is technically challenging, open or laparoscopic. The laparoscopic repair is relatively new and not all surgeons are comfortable performing repair this way. Statistically, the failure rate of open hernia repair is between 1-5% depending on sugeon expertise. Conversely, laparoscopic failure is much higher up to 10% and more depending on experience. More experience=less failur. ...Read moreSee 1 more doctor answer
Create normal penis: We try to repair in single stage, unless very severe with urinary opening at the scrotum & 2 stage repair is performed. Penis is straightened & urinary opening is advanced to tip of glans if possible.Penile shaft skin is dissected down to base to straighten, graft maybe required for severe chordee, or dorsal plication.Urethra constructed from skin flaps or buccal graft. Stent or catheter for urine. ...Read moreSee 1 more doctor answer
Traditional suture repair of inguinal hernia back in 2012. Hernia has recurred. Should I opt for open mesh repair or robotic laparoscopic?
Either: Both are equal and should remedy the problem ...Read more
Yes: Nerve injuries are rare complications of open & laparoscopic hernia repair. In open surgery, the nerve that innervates the skin of the groin & thigh is prone to injury, leading to numbness or pain. In laparoscopic repair, a tack holding the mesh can irritate branches of the same nerve, or, more rarely, catch a nerve to the leg. Chronic pain responds to injecting the nerve, if necessary. ...Read moreSee 1 more doctor answer
Yes: When a baby is born with both hypospadias and one or two undescended testicles, there may be a chromosomal or hormone defect. With a severe hypospadias and two undescended testicles that cannot be palpated, the baby may be a girl with a severe hormone anomaly called congenital adrenal hyperplasia. At birth, these children must be evaluated by a urologist. ...Read moreSee 2 more doctor answers
Pediatric urologist: A pediatric urologist is the most specifically trained person to address this issue. However, pediatric surgeons are also trained in testicular maldescent and perform these repairs (orchiopexies) often. Some general urologists concentrate a portion of their practice in pediatrics and are fully capable of addressing this issue as well. ...Read more
The following: 1) Cryptorchid testis will have impaired or absent sperm production. Testis requires slightly reduced environmental temperature of scrotum 4 sperm production. 2) Slight increase risk of testicular cancer, so testis should be brought down so can be diagnosed early & cured. 3) Psychological. Most self respecting males want 2 testes down. 4) Slightly greater risk of testis torsion or trauma. ...Read moreSee 2 more doctor answers
Orchidopexy surgery: Cryptochidism signifies a hidden or non-palpable testis, although many erroneously use the term for any undescended testis. Ultrasound should first be performed if testis is non-palpable. Then laparoscopy if us is negative. Orchidopexy surgery, either laparoscopically, or by open trans-abdominal or inguinal surgery. ...Read more
Exact causes unknown: There appear to be many factors:- can be genetic ( e.g. Father may have had same), hormonal ( mother taking estrogens, birth control pill or child conceived by ivf, meat sources fed estrogens), prematurity (small premature babies have higher incidence), environmental factors can affect hormones as can nerve activity from the ileo-inguinal nerve. ...Read more
Possibly: If both testicles remain cryptorchid. In which case suggest you see a urologist to discuss possibility of bringing them down. Usually cryporchidism does not affect sex drive, unless you have low testosterone levels. Cryptorchid testes can still produce testosterone. It is sperm production that is adversely affected. ...Read more
Please let me know if there is a possibility for an adult patient with uncorected bilateral cryptorchidism to father children without any treatment?
Unlikely: Bilateral cryptorchidism signifies non-palpable testes ; thus intra-abdominal or high inguinal. Such testes can not produce sperm. However a few sperm might be present in a low undescended testis at scrotal neck. In which case sperm might be surgically extracted directly from testis implanted in vitro by intracytoplasmic sperm injection (icsi). ...Read more
Born with cryptorchidism. Orchiopexy at age 5. As i aged remained very small & is tender. 42 now. Any concern & is prosthetic worth considering?
Possibly: Many men like to have a matching pair of normal-size testicles in their scrotum as a matter of self esteem. Yes, if single and concerned embarssment with a potential future partner. No point in a prosthesis if already with partner who is unconcerned. Single prosthesis can be placed if other testis is normal & have small tentder testis removed. @ prostheses & leave testicle if no normal testes. ...Read more
I think I've had cryptorchidism as my testicles didn't descend until late (last one at ~14years).I have retractile testicles now. Would I be fertile?
Unsure. Need test: Research has learned that sperm counts are lower with higher temperatures, so sperm counts can vary with tight vs loose underwear and can be affected by prolonged exposure in hot tubs, etc. If your testicles hang loose when your body is warm and relaxed, there is no reason to suspect that there is a problem, but only an analysis of semen can confirm that. ...Read more
Does one sided cryptorchidism cause infertility in men? Does a man with one healthy testicle have a lower sperm count?
Likely fertile: Sperm count will probably be within normal limits because remaining testicle will grow larger (compensatory hy[pertrophy) and thus produce more sperm than if it were 1 of a pair, but count may be slightly reduced. Semen volume is unaffected and normal because >95% is produced by the seminal vesicles, prostate and cowper's glands. Sperm is no > 5% of ejaculate.. ...Read moreSee 2 more doctor answers
23 yr old M monorchid secondary to R cryptorchidism. I have a small 2 mm lump that is soft, moveable and non-tender near epididymis. Pls advise.
Epididymis: sorry for the right cryptorchidism, the lump you are referring to above the healthy testicle: for how long has it been there? or you just noticed it? it can be any structure related to the epididymis or something else. Your best bet is to see your doctor for exam and reassurance, best wishes ...Read more
I suffer from cryptorchidism n pme(ejaculate in 30 sec even during masturbation). is this curable. can I satisfy my wife and father a child m bachelor?
Cryptorchidism: Cryptorchidism has nothing to do with PME. If your other testicle is normal and no other issues should not have problems conceiving child. If concern, simple sperm count and motility eval sufficient to start. Satisfy spouse is another issue. More to relations with spouse than just sex (although important). Thoughtful spouse and good therapist can work with you to help PME issues. Good luck. ...Read more
My friend of age 22 has cryptorchidism since birth & he has underdeveloped testis & penis & he is sexually very excited & masturbate regularly .do he may become impotent.
My friend starley of age 22 has cryptorchidism& has both testis & penis underdeveloped. he has addicted to masturbation regularly .fearing of impotenc?
See a urologist: your freind need to see a specialist his condition is associated with high risk of testicular cancer,if he had undescended testicles. if his testicles were underdeveloped because of undescended testicles the he need a full evaluation of the level of his testosterone level to determined if supplement will be sufficient or it is too late. this is a serious and complicated problem. see a specialist. ...Read more