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undescended testicle
Discussion in 'All Categories' started by AGP - Aug 20th, 2012 4:17 pm.
My son is almost 9 months old on August 7 2012. He was diagnosed to have an undescended testicle by the pediatrician. The pediatrician suggested we wait until almost one year to see if the testicle will descend into the scrotum. We were anxious that there was no sign the testicle was going to descend so we travelled from Canada to see a urologist in the united states at about 8 months of age who at first could not feel the testicle. We then had ultrasound done In Canada with this report: "The right testicle is normal in its size shape and echogenicity measuring 1.6 x 1.7 x 1.1 cm with flow established to the parenchyma of color doppler imaging within the right scrotum. The hypoplastic or atrophy in the left testicle is smaller and hypoechoic measuring 9 x 6 x 7 mm and is seen to be positioned transiently between the left inguinal canal and the left scrotum" We are trying to expediate surgery on him to save his testicle. Based on these numbers what is your prognosis if you can please give us your opinion I would really appreciate it, very much. It is difficult for us to get in touch with a urologist right away to answer our questions. we are waiting weeks for an appointment here in Canada only for consultation. We want to save this testicle and avoid removal. Your honest opinion would be greatly appreciated. Like I said we want to save his testicle. Is this possible?? And when would you recommend surgery?? Sooner rather than later?? surgery as soon as possible?? Thank you so much!
re: undescended testicle by Dr M K Gupta - Sep 2nd, 2012 1:44 am
Dr M K Gupta
Dr M K Gupta
Dear AGP

Undescended testes usually resolves without any intervention by the time the infant is Six months old. Resolution occurs as the testicles or testes descend from the inguinal canal through a small internal passageway that runs along the abdomen near the groin into the scrotal sac. When the testicles or testes have not descended by Six months of age, the testicles may not descend whatsoever. Specific strategy to undescended testes is going to be determined by your child's physician according to:

1. Your child's age,
2. Overall health, and medical history
3. The extent from the condition
4. Your child's tolerance for specific medications, procedures, or therapies
5. Expectations for that course of the condition
your opinion or preference

Treatment may include:

Hormonal therapy: administration of certain hormones may stimulate the production of testosterone, which helps the testes descend into the scrotal sac. This isn't routinely employed for treatment of truly undescended testes.

Surgical repair: a surgical repair to locate the undescended testicle and advance it to the scrotal sac may be recommended by your child's physician. This surgery, called orchiopexy, is usually performed between months 6 and 18 and is successful in 98% of children with this condition.

Please keep confidence on the physician who is already treating your son and he will definitely take the correct decision.

With regards
MK Gupta
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