An undescended testis (cryptorchidism) is a condition where a testicle has not moved down into the scrotal sac before birth. The testicle may be located along the normal descent path (groin canal) or inside the abdomen, requiring surgical relocation (orchidopexy) to preserve function.
The exact cause is multifactorial, involving:
Visual and physical signs include:
An undescended testis (cryptorchidism) that remains in the abdomen is exposed to higher body temperatures, which can impair future fertility and increase the risk of testicular cancer. Surgical correction (orchidopexy) is recommended before the child reaches 12 to 18 months of age to maximize functional outcomes, preserve fertility, and allow for easier screening for abnormalities later in life.
Our approach ensures the utmost care and minimal discomfort for your child. For palpable testes, we perform a straightforward daycare procedure. For non-palpable testes hidden in the abdomen, we use advanced laparoscopy for both diagnosis and treatment in a single setting. Our team provides clear post-operative guidance to ensure a smooth and rapid recovery at home.
A standard daycare surgical procedure to bring a palpable undescended testis down into the scrotum.
Keyhole surgery to locate and bring down a non-palpable testis located high in the abdomen.
A minimally invasive exploration to confirm the presence, location, and condition of a missing testis.
A careful physical exam and sometimes an ultrasound are used to locate the testis and determine the surgical approach (open vs. laparoscopic).
The testis is mobilized, blood vessels are carefully preserved, and it is secured in a newly created pocket in the scrotum.
Most children go home the same day. Recovery is quick, with minimal discomfort and dissolvable stitches that don't need removal.
"Our baby boy had a palpable undescended testis. Dr. Sujit did an open orchidopexy as a daycare procedure. Excellent care and quick recovery."
"My son's testicle was located high in the groin. Dr. Sujit performed laparoscopic orchidopexy safely. The scars are almost invisible."
"Reassuring, patient, and highly skilled pediatric urologist. The entire surgical process was explained so well to us."
"The precision in Dr. Chowdhary's surgery is incredible. His confidence gave us immense peace of mind during a very stressful time."
"We traveled from another city just for Dr. Chowdhary. His approach is very scientific and methodical yet very caring."
Testicular descent is a precise surgical task. Using minimally invasive techniques ensures the best anatomical results with minimal trauma.
Surgery (orchidopexy) is recommended between 6 months and 1 year of age to preserve germ cells and future fertility.
Diagnostic laparoscopy is the gold standard, as ultrasound and MRI cannot confirm with certainty whether a testis is absent.
Hormone therapy (like HCG) has a very low success rate and is no longer recommended in modern pediatric urology.
Yes, laparoscopic orchidopexy is routinely performed as a daycare procedure, and the child can go home the same day.
If diagnostic laparoscopy reveals a blind-ending vessel or atrophic tissue, the non-functional tissue is removed, and a cosmetic prosthesis can be placed later during puberty.
Most infants recover quickly and are active the same day. Vigorous play and stridulent toys (like straddling bicycles) should be avoided for 2 weeks.
With timely surgical descent of the other testis, fertility rates are generally normal or near-normal. Prompt surgery minimizes the risk.
Timely orchidopexy preserves testicular cells and future fertility. Schedule a consultation today.
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