Top
30
Doctor insights on: Remedies For Undescended

Share
1

1
I have an undesended testicle that needs to come down. What is the most affordable treatment?

I have an undesended testicle that needs to come down. What is the most affordable treatment?

Why the need.: Bringing testicle down at your age won't affect fertility or slight chance of maligancy. U would know early on if it enlarges or develops a lump so it could be removed before any chance of spread. Testicle may not come down easily with surgery at your age, unless it is already fairly low.? Cosmetic reason. The Cheapest surgery under spinal in surgicenter. Call & shop around, or cheapest is don't do it. ...Read more

2

2
How to tell if testicles are undescended?

How to tell if testicles are undescended?

Look and feel...: In a baby, the testicles feel like two soft little oval "marbles" in the scrotum. If you cannot feel them, try examining a baby with soapy hands — this is a well-known trick! Also, as in big boys, testicles "retract" towards the body if the person is cold. Testicles that remain in the abdomen and haven't descended pose a greater risk for cancer. Check with your doctor. ...Read more

3

3
Please tell me what the causes could be for undescended testis?

Please tell me what the causes could be for undescended testis?

Exact causes unknown: Prematurity, low birth weight, genetic (family history), hormonal (androgen insensitivity), nerve influences, fetal intra-abdominal pressure & prune belly syndrome. ...Read more

4

4
Ten year old with one undescended testacle, what are the health implications?

Ten year old with one undescended testacle, what are the health implications?

Increased risk: Boys with undescended testicles are at risk for hormone problems (although unlikely with normally descended testicle on other side), fertility with increase risk of decreased sperm count, and testicular cancer (slightly higher risk than general population). You should have him evaluated by a urologist. ...Read more

5

5
Is undescended testis serious in a boy?

Is undescended testis serious in a boy?

Yes: If a testicle is truly undescended (i.e., not just retractile), it can be associated with increased risk of infertility, testicular cancer, and testicular torsion or injury. Those are the indications for repair (orchiopexy). ...Read more

6

6
What are the symptoms of an undescended testicle?

What are the symptoms of an undescended testicle?

Not at scrotal base: An undescended does not reach base of scrotum & can be high in the scrotum, groin, next to scroyum, above penis or non palpable in the inguinal canal or abdomen. Usually free of symptoms or occasional vague feeling of groin discomfort. Groin swelling from companion inguinal hernia can occur. Undescended are at increased risk of torsion which would result in severe and acute groin pain. ...Read more

7

7
Will an 18 y.O. With undescended testes be sterile?

Will an 18 y.O. With undescended testes be sterile?

Depends: Will be sterile if both testes are undescended and located above the scrotum. Not sterile if one testis is down in the scrotum, however fertility may be impaired and is another good reason to have the problem corrected as a baby, or as soon as it is recognized after babyhood. A single undescended test can influence the sperm production in the contralateral testis. ...Read more

8

8
How is undescended testis diagnosed on ultrasound?

How is undescended testis diagnosed on ultrasound?

See below: Undescended testis is usually diagnosed by physical examination. Ultrasound is used if no testicle can be palpated on either or both sides. Inguinal and abdominal/pelvic us can demonstrate testes in the inguinal canal and most intra-abdominal undescended testes. This helps in management and choice of surgical approach. I perform laparoscopy to find possible intra-abdominal udts if not found by us. ...Read more

9

9
Can you wait to treat undescended testes? If so, how long?

Can you wait to treat undescended testes? If so, how long?

1 year: Approximately 10% of patients may see appreciable descent of undescended testes in the first year of life. Thereafter, we tend to recommend surgical repair as they don't descend further by themselves. ...Read more

10

10
Is it true that if a male has undescended testes, he is unable to impregnate a woman?

Possibly: Undescended testes, regardless of when they are surgically delivered into the scrotum, are abnormal testes and would not be expected to have "normal" spermatogenesis. Consequently, the fertility associated with This is less than normal testes. When 1 testicle is undescended & the other is normal, no significant difference in overall fertility would be anticipated. ...Read more

11

11
If you have klinefelter's syndrome and you have one testicle that was undescended, but one that descended normally can you have kids?

If you have klinefelter's syndrome and you have one testicle that was undescended, but one that descended normally can you have kids?

Infertility is rule: With ks the testis remain small & testosterone production is sperm whither over time. If the individual is a mosaic (exceedingly rare) with normal genetic material in the testis there might be a possibility of reproduction. The basic answer;however, is no. ...Read more

12

12
How do you treat an undescended testicle?

How do you treat an undescended testicle?

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. ...Read more

13

13
Is the size of an undescended testicle abnormal?

Is the size of an undescended testicle abnormal?

Yes: A true undescended testicle is usually smaller than a normal testis for the same age. One school of thought believes that the testis does not descend because it is malformed or maldeveloped and that includes size, ductal connections and length of the spermatic cord. ...Read more

14

14
Can I have children if I have an undescended testicle?

Can I have children if I have an undescended testicle?

Probably: It depends on if it is truly undescended or retractile. Retractile means it is high up in the scrotum and can be felt this should not cause problems with fertility. If it is truly undescended and can't be felt the undescended teste will probably not produce sperm, but if the other testicle is ok you should have no problem. An undescended testicle should be seen by a physician and repaired. ...Read more

15

15
Can you have kids if you have an undescended testicle?

Can you have kids if you have an undescended testicle?

Yes: If undescended testis repaired early you should have normal function. Plus you have other testicle. If really concerned after you get married your doctor can perform a sperm count. ...Read more

16

16
What is an undescended testicle (cryptorchidism) cause?

What is an undescended testicle (cryptorchidism) cause?

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

17

17
What to do if a repaired undescended testicle is reascending?

Consult urologist: Secondary reascent is known complication of orchidopexy surgery. Might be worth fixing again, although won't affect fertility at your age. Would be more cosmetic than functional. ...Read more

18

18
What is the definition or description of: Undescended testicle?

What is the definition or description of: Undescended testicle?

Here are ...: Undescended testicle denotes a testis that does not stay inside the sac or at least below pubic tubercle at relaxation with its best moment at sleep, which are usually congenital (in-born), but may occasionally result from surgery after inguinal or intrascrotal procedures, and not infrequently it may be confused with retractile testis. More? Ask experts. ...Read more

19

19
Is it a myth that if a male has undescended testes, he is incapable of impregnating a woman?

Is it a myth that if a male has undescended testes, he is incapable of impregnating a woman?

Yes: Fertility rates in men with a history of treated or untreated testicular maldescent are generally lower than men without such problems. However, with unilateral undescended testis, fertility is very close to normal. If both testes are affected, the fertility rate is considerably lower, but fertility can be increased with assisted reproductive techniques. ...Read more

20

20
Undescended testicles should be brought down by what age?

Undescended testicles should be brought down by what age?

6 - 12 months: Recommended age to bring down testicles has gradually descended with time. We know testicle undescended at age 6-months in a previously full-term infant will not descend on its own. Also, early pathological changes have been found in undescended testes by age 1-year, hence rational for early orchidopexy surgery. Ex premature babies can wait till age 1-year. False 2 believe in late descent. ...Read more

21

21
Undescended testis --- will it descend it without surgery?

Undescended testis --- will it descend it without surgery?

Some do some don't: While the testis generally descend & enter the scrotum in late pregnancy, some do not. We will generally watch the process until 6m-1yr before having the infant evaluated for surgery. Each case must be evaluated on its own merits. ...Read more

22

22
Can you tell me what the causes could be for a surgery for undescended testis can be?

Can you tell me what the causes could be for a surgery for undescended testis can be?

Minor birth defect: Approximately 1 — 2% of boys have testicular maldescent requiring surgery. 3% of full-term baby boys ; 30% of preemies., most descend spontaneously by age-6-months. Some have udts following hernia surgery. Surgery indicated for non-palpable testes to reduce slight risk of cancer in later life, maximise fertility potential, psychologic to achieve normal appearance ; reduce risk of trauma or torsion. ...Read more

23

23
Undescended testicle pose any cancer risk?

Undescended testicle pose any cancer risk?

Slight: Increased risk is primarily with intra-abdominal udts. Most quoted risk in literature for intra-abdominal udts is 1:15 or 4%. Risk cancer in low inguinal udts is minimal. Risk for high inguinal is inbetween. 1 in 6 patients who have unilateral udt ; develop testicular cancer have it in the descended testis. Advise all undescended testes be brought down far enough to be palpable in case of cancer. ...Read more

24

24
Do only premature babies have undescended testicles?

Do only premature babies have undescended testicles?

No: Undescended testis can be seen in full term children. The crucial part of the exam is whether it is retractile or truly undescended. Current recommendations are to repair undescended testis by the 1st year. ...Read more

25

25
Anyone have experience with undescended testicle?

?pts age??: Approach to undescended testis has gradually become more aggressive over the past 3 decades as data show the negative effect letting it stay in the abdomen have on fertility or the opposite testis. Locating & bringing it down if possible by 6m to 1y is common with a trend toward earlier surgery. Those found high in the scrotum or canal at birth are generally watched ...Read more

26

26
Don't know what I should do with my undescended testicle?

Don't know what I should do with my undescended testicle?

Depends on location: At your age not worth doing anything if testis is palpable ; doesn't bother you. Worth removing, with or without placement of testicular prosthesis if causing pain or discomfort. 1 testis will suffice for both testosterone ; sperm production. Undescended testis at age 26 years won't produce sperm. Consider minimally invasive laparoscopic removal of testis if intra-abdominal to avoid cancer risk. ...Read more

27

27
Is it normal for a corrected undescended testicle to be much smaller than the other?

Is it normal for a corrected undescended testicle to be much smaller than the other?

No: It isn't normal for a corrected undescended testicle to be much smaller than the other. It may be slightly smaller, and this is usually due to the fact that the testicle was abnormal to start with. If the testicle is much smaller, it usually is an indication of inadequate blood supply of previous torsion with partial resorption. Physiologic function of this testicle would be questionable. ...Read more

28

28
What happen if an undescended testis is not treated until the age 30 years or older?

Fibrosis: Depending on the location of the testis, a truly undescended testis left untreated will lose its sperm producing capability. The testis is also at risk for tumors. See your urologist to discuss the merits of surgical treatment. ...Read more

29

29
What percentage of men with bilateral undescended testes end up with normal fertility?

Less than 30%: Percentage depends upon original position of undescended testes when corrected, i.e. Intra-abdominal udts are associated with more infertility than low inguinal udts. Associated abnormality such as poor attachment of epididymis has a worse prognosis. Age at correction is very significant, the younger the better. Both testes undescended beyond puberty can never be associated with normal fertility. ...Read more

30

30
Help please! Is being an undescended testicle man can affect my future child from being normal?

Interesting question: I'd first consider it a risk to your own health and fertility. If that testicle remains in your abdomen at has a higher risk of testicular cancer in your lifetime and can decrease your fertility. Should you escape both issues, any sperm that swims hard enough to do the deed should be normal. The weak ones don't make it. ...Read more