- During fetal development, the testes descend from the abdomen into the scrotum. When a testicle does not migrate into the scrotal sac, it is an undescended testicle.
- The testicle can descend into the proper position without treatment within 3 to 4 months of life.
- If this does not occur, the risk of infertility increases.
During the fetal Development, the testicles descend from the abdomen into the scrotum. When a testicle does not migrate into the scrotal sac, it is an undescended testicle. The testicle can descend into the proper position without treatment within 3 to 4 months of life. If this does not happen, increase the risk of infertility. Warmer temperatures within the abdomen can affect the development of the testicles and the production of sperm.
Undescended testicles are also slightly more prone to testicular cancer.
What causes undescended testicle?
The exact cause of this condition is unknown, there are many factors/substances that are involved in the process of the descent of the testicle from the abdomen to the scrotal sac, the involvement of one or several of these can condition this pathology.
Who has undescended testicle?
The undescended testicles they occur in about 1% to 3% of baby boys, in 21% of premature baby boys, and in 3% to 4% of full-term babies.
What are the signs and symptoms of an undescended testicle?
If your son has undescended testicle(s), it may appear that one or both testicles are missing or not felt inside the scrotum, the. If both testicles have not descended, the scrotum may appear small and retracted.
What tests are used to diagnose an undescended testicle?
Physical examination continues to be best method for diagnosis, so your son will undergo a genital exam to determine if the size and development of the scrotum and testicles is normal or abnormal. The diagnosis is made if the testicle is not in the scrotum.
During your child’s check-ups, your pediatrician will carry out a genital exam and if there are doubts or to confirm the diagnosis, you should refer to a pediatric urologist. Radiology studies are rarely necessary, however, we will occasionally use them.
How is an undescended testicle treated?
If a testicle can be felt within the groin, your child may have a surgical procedure called an orchidopexy, which consists of fixing the testicle to the base of the scrotum, to prevent it from twisting or moving upwards. The best age to perform this surgery is around one year of life and it can be done in most cases as an outpatient procedure.
In about 20% of men, the testicle cannot be felt within the groin. This may mean that there is no testicle or that it is inside the abdomen. The presence and location of the testis determined by a surgical procedure called laparoscopywhere a camera is placed in the abdomen to look for the testicle.
Our urology team is committed to helping your child.
Dr. Fabián Sánchez Sagástegui. pediatric urologist. Surgeon and Obstetrician, graduated from the Faculty of Medicine of the Autonomous University of Nuevo León (UANL).
Medical specialization in Pediatrics, graduated from the National Institute of Pediatrics and endorsed by the National Autonomous University of Mexico (UNAM).vHomologation of the official University degree of Bachelor of Medicine before the Ministry of Science and Innovation, Spain.
- Training stay in Pediatric Urology carried out in the Pediatric Urology Service of the La Paz University Hospital, Madrid, Spain, endorsed by the Ministry of Health and Social Policy.
- Associate Professor of the Postgraduate Course of High Specialty in Medicine (Pediatric Urology).
- National Institute of Pediatrics, endorsed by UNAM.
Associate professor in the specialization course in Pediatric Surgery, National Institute of Pediatrics. Mexico City. - Editor Member of the International Journal of Clinical Urology.
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