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Undescended Testis

What are the symptoms of an undescended testicles (UDT)?

The parent may see that one side of the scrotum is small, underdeveloped and less full as compared to the other side. Sometimes a palpable testicle may be seen as a swelling or felt in the pubic region while bathing. The condition is usually painless.

What causes Undescended testis (UDT)?

The testes usually develop in the region where the kidney is and descent down to the scrotum as the fetus matures. A flaw in the process of this descent leads to an undescended testicle. A testis may be seen anywhere along its path of descent.

Is an Ultrasound necessary to diagnose UDT?

No. In most of the cases, a clinical examination suffices. Usually an undescended testis is found in the inguinal region and can be easily palpated on careful examination after relaxing the abdominal muscles. However, in cases of intra-abdominal testis sometimes to confirm the non-palpable nature an ultrasound is done. An ultrasound is also required in cases where the child is very fatty, or the testis is very small in size to confirm its nature and blood supply.

How is an undescended testicle treated?

And undescended testicle is surgically brought down to the scrotum after proper mobilisation. It usually requires an inguinal skin crease incision and a scrotal incision. The surgery is done under regional anaesthesia with a spontaneously breathing sedated child. The child is admitted for a day and discharged next morning of surgery.

At what age are the children operated?

We usually wait for about 6 months for the testis to descend on its own. After that the chances of testis to descend by itself are slim. Delaying surgery upto 2-3 years may hinder testicular function by restricting its growth. Ideal age for surgery is 6-8 months.

Does Undescended testis require Laparoscopy?

Sometimes a testis gets arrested intraabdominally during its descent. Such cases need treatment via laparoscopy as the testis is seen and mobilised from abdomen using a laparoscope .

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