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Doctor insights on: Undescended Testicle

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Dr. Craig Smith
64 Doctors shared insights

Undescended Testicle (Overview)

A testicle that hasn't moved into its proper position in the bag of skin hanging below the penis.


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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.

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Dr. Craig Smith
64 Doctors shared insights

Undescended Testicle (Overview)

A testicle that hasn't moved into its proper position in the bag of skin hanging below the penis.


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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.

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My 5 month old baby is diagnosed with bilateral nonpalpable undescended testicles. What are the future problems associated. Can he have a baby?

My 5 month old baby is diagnosed with bilateral nonpalpable undescended testicles. What are the future problems associated. Can he have a baby?

Undescended testicle: The testicles must be found by ultrasound. If it is possible, they will bring at least one of the testicles into the sac and fertility will be maintained.

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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.

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After treatment of undescended testicles how long will it take for them produce testosterone and make me grow facial hair, more pubic hair etc.?

After treatment of undescended testicles how long will it take for them produce testosterone and make me grow facial hair, more pubic hair etc.?

Depends: Testosterone production in the undescended testicle is often normal. If you had both testicles undescended, and you have only just had the surgery, you should get a serum testosterone done. You might have additional problems with the testicles overall function. Additional blood work or genetic testing may be needed if the testosterone is low.

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Undescended testicle question? If you didn't get it out when a child, should it be removed as an adult?

Undescended testicle question? If you didn't get it out when a child, should it be removed as an adult?

Relocation possible: You don't necessarily remove it completely. You cannot monitor it for changes that would suggest cancer if it sits hidden in your abdomen, but it may still provide proper hormonal support for your body.Surgery to relocate to your scrotum may be possible. If not and the other normal testis is in the scrotum it could be removed without harming your system.

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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.

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What are the risks involved with undescended testicle surgery?

What are the risks involved with undescended testicle surgery?

Fortunately low: Usual surgical risks of bleeding, postoperative hematoma & infection with obese boys at greater risk. Sometimes difficult to place undescended testis low or at base of scrotum. Occasionally testis may atrophy due to impaired blood supply. There is potential risk of "secondary ascent" especially if mothers carry child on their hip after surgery or older boys pressing video game control between legs. Fortunately rate of complications is low.

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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.

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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.

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Anyone have experience with undescended testicle?

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

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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.

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Can I have children if I have an undescended testicle?

Can I have children if I have an undescended testicle?

Probably: It depends 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.

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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.

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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.

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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.

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What to do if a repaired undescended testicle is reascending?

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.

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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.

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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.

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Dr. Jeffrey Stevens
43 Doctors shared insights

Cryptorchidism (Definition)

The testis develops in the abdomen during fetal life and descends all the way to the scrotum on both sides. Given this long journey, it is not surprising that 3% don't make it at birth. When the testis on one side or the other is non palpable, it is said to be cryptorchid. There is a 5% chance that it did not develop normally or that is atrophied from a loss of blood supply ...Read more


Testicles (Definition)

The testicles are the two oval male gonads, or reproductive glands, located in the scrotum. The seminiferous tubules of the testis are the site of spermatogenesis and its leydig cells secrete testosterone. The term testicles is synonymous with testes or gonads. The singular form is ...Read more