24 doctors weighed in:
Can you wait to treat undescended testes? If so, how long?
24 doctors weighed in

Dr. Grant Geissler
Surgery - Pediatric
11 doctors agree
In brief: 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 dont descend further by themselves.

In brief: 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 dont descend further by themselves.
Dr. Grant Geissler
Dr. Grant Geissler
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Dr. George Klauber
Pediatrics - Urology
6 doctors agree
In brief: Ideally before age 1
The higher the undescended testis, the sooner it should be corrected.
Surgery is recommended early because you can already find microscopic changes in atestis after 6 months of age. Pediatric urologists or pedi surgeons are experienced in operating on babies. Best way to know if a boy has un undescended testis is to sit him in warm bath and check to see testis is down. Retractile testes are normal.

In brief: Ideally before age 1
The higher the undescended testis, the sooner it should be corrected.
Surgery is recommended early because you can already find microscopic changes in atestis after 6 months of age. Pediatric urologists or pedi surgeons are experienced in operating on babies. Best way to know if a boy has un undescended testis is to sit him in warm bath and check to see testis is down. Retractile testes are normal.
Dr. George Klauber
Dr. George Klauber
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Dr. George Klauber
Pediatrics - Urology
5 doctors agree
In brief: Till age-6months.
Undescended testis in a full term, normal birth weight baby should be descended by age-6-months.
We now believe these testes should be brought down by age-1-year. Ex-preemies at 1 year. Some testes, thought to be retractile normal testes are later found to be undescended and should be corrected soon after discovery. Non-palpable testis in full-term new born will never spontaneously descend.

In brief: Till age-6months.
Undescended testis in a full term, normal birth weight baby should be descended by age-6-months.
We now believe these testes should be brought down by age-1-year. Ex-preemies at 1 year. Some testes, thought to be retractile normal testes are later found to be undescended and should be corrected soon after discovery. Non-palpable testis in full-term new born will never spontaneously descend.
Dr. George Klauber
Dr. George Klauber
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Dr. Frazier Frantz
Surgery - Pediatric
3 doctors agree
In brief: Usually 6-12 months
In some cases where the testicle is palpable in the inguinal region but is not easily delivered into the scrotum, it can be advisable to wait 12 months to see if the testicle will descend normally.
For clearly undescended testes, orchidopexy is now performed at 6-12 months of age.

In brief: Usually 6-12 months
In some cases where the testicle is palpable in the inguinal region but is not easily delivered into the scrotum, it can be advisable to wait 12 months to see if the testicle will descend normally.
For clearly undescended testes, orchidopexy is now performed at 6-12 months of age.
Dr. Frazier Frantz
Dr. Frazier Frantz
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Dr. George Chiang
Pediatrics - Urology
2 doctors agree
In brief: Earlier the better
We recommend fixing these before 2 years of age to maximize the benefit of the surgery (reducing risk of testicular cancer long term and reducing risk of infertility from that associated testicle).

In brief: Earlier the better
We recommend fixing these before 2 years of age to maximize the benefit of the surgery (reducing risk of testicular cancer long term and reducing risk of infertility from that associated testicle).
Dr. George Chiang
Dr. George Chiang
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2 comments
Dr. George Klauber
Testes which are definitely undescended beyond one-yera-of-age already demonstrate some pathological changes and early fibrosis, hence recommendation to correct by age 1 yr, rather than wait any longer.
Dr. James Lin
Totally, agreed. So, someone says: There is no magic in life and medicine; if any, that is applying currently available knowledge, skill, technology, medication, common sense, and wisdom at reasonable time in reasonable ways to reasonable patients or persons. And move on... Together, we expand...
Dr. David Vandersteen
Pediatrics - Urology
1 doctor agrees
In brief: 6 to 18 months
If a testis is impalpable, then exploration and orchiopexy (repair) is best done around 6 months old.
Intra-abdominal testes are harder to mobilize to the scrotum in older children. If the testis is palpable, most specialists agree that orchiopexy around one year of age is the standard.

In brief: 6 to 18 months
If a testis is impalpable, then exploration and orchiopexy (repair) is best done around 6 months old.
Intra-abdominal testes are harder to mobilize to the scrotum in older children. If the testis is palpable, most specialists agree that orchiopexy around one year of age is the standard.
Dr. David Vandersteen
Dr. David Vandersteen
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Dr. Janet Meller
Surgery - Pediatric
1 doctor agrees
In brief: By age 2
True undescended testes should be repaired no later than age 2.

In brief: By age 2
True undescended testes should be repaired no later than age 2.
Dr. Janet Meller
Dr. Janet Meller
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