Free Medical Advice Related to Laparoscopic Surgery

Undescended Testes
Discussion in 'All Categories' started by Nazim - Aug 19th, 2011 6:16 pm.
Nazim
Nazim
Dear Consultant,

I have taken your email address through the website. I am based in London. I am 31 years of age and unfortunately found out that both of my testis are undescended.
I have gone through ultrasound and MRI. MRI reports finally told me that both testis are in the pelvis.
Now, i want to know what are my chances to bring down testis to scrotum, i have an inguinal hernia developed too.

All of my other sexual functions are good, testorone level is good but my sperm counts are zero.

Please if you let me know if you have seen similar patients before.

I would like to know about every details.
Many thanks
re: Undescended Testes by Dr Sadhana - Aug 19th, 2011 6:27 pm
#1
Dr Sadhana
Dr Sadhana
Dear Mr. Nazim

The primary management of cryptorchidism is minimal access surgery, called laparoscopic orchiopexy. It is usually performed in infancy, but in your case it is too late. Generally if inguinal testes have not descended after 4
re: Undescended Testes by Dr Sadhana - Aug 19th, 2011 6:29 pm
#2
Dr Sadhana
Dr Sadhana
Dear Mr. Nazim

The primary management of cryptorchidism is minimal access surgery, called laparoscopic orchiopexy. It is usually performed in infancy, but in your case it is too late. Generally if inguinal testes have not descended after 4
re: Undescended Testes by Dr Sadhana - Aug 19th, 2011 6:30 pm
#3
Dr Sadhana
Dr Sadhana
Dear Mr. Nazim

Surgery is performed often by a pediatric urologist or pediatric surgeon, but in many communities still by a laparoscopic urologist or laparoscopic surgeons.

Although many trials have been published, the reported success rates range widely, from roughly 5 to 50percent, probably reflecting the varying criteria for distinguishing retractile testes from low inguinal testes.

Some surgeons have reported facilitation of surgery, perhaps by enhancing the size, vascularity, or healing of the tissue. A newer hormonal intervention used in Europe is use of GnRH analogs such as nafarelin or buserelin; the success rates and putative mechanism of action are similar to hCG, but some surgeons have combined the two treatments and reported higher descent rates. Limited evidence suggests that germ cell count is slightly better after hormone treatment; whether this translates into better sperm counts and fertility rates at maturity has not been established. The cost of either type of hormone treatment is less than that of surgery and the chance of complications at appropriate doses is minimal. Nevertheless, despite the potential advantages of a trial of hormonal therapy, many surgeons do not consider the success rates high enough to be worth the trouble since the surgery itself is usually simple and uncomplicated.

In your case we may need to remove the testes as due to body temperature it must has atrophied. When the testis is in the abdomen, the first stage of surgery is exploration to locate it, assess its viability, and determine the safest way to maintain or establish the blood supply. Multi-stage surgeries, or auto-transplantation and anastomosis, are more often necessary in these situations. Just as often, intra-abdominal exploration discovers that the testis is non-existent ("vanished"), or dysplastic and not salvageable.

We will advice to get one diagnostic laparoscopy done and the strategy of surgical management can be decided according to to position.

With regards
Sadhana

re: Undescended Testes by Nazim - Aug 20th, 2011 1:39 am
#4
Nazim
Nazim
Dear Sadhna,

Thanks for you detailed email.

I can confirm few things if it is possible by simply answering your email one by one below:-

Although many trials have been published, the reported success rates range widely, from roughly 5 to 50percent, probably reflecting the
Nazim : Are you saying that my chances of bringing down the testis are only 5 percent?

In your case we may need to remove the testes as due to body temperature it must has atrophied
Nazim:- As i have had the detailed MRI and doctor has not reported any problem with my testis, they are perfectly fine.
The MRI Report says that both testis are in good conditions but the problem is only they are higher up near the pelivs, just above the inguinal ring.
I know the ability to produce sperm is higly unlikely, but still my testis are producing testorone and leveling up other stuff.
Therefore I do not want them to be removed completely from my body, Is that something can be done that they will be brought done.?
Dose this clear your question when you mentioned "atrophied."

Multi-stage surgeries,
Nazim: Can you explain me how this will work? Will my age have any side effects on this?
What are the success rate with this strategy.

Auto-transplantation
Nazim: I was reading somewhere that success rate is likely very low with this one, even if there is a successfull operation,
the testis fails in 2 or 3 days.? Can you please explain, how this process will be performed by you and what are the success rate with this strategy.

Anastomosis
Naz: I am not aware with this, can you please explain about it?


I look forward to hearing from you.

Regards
Nazim Zia
Post Reply
Name *
Email * Will be hidden from visitors
Your Picture * Limit 2Mb please
 *
Enter verification code Simple catpcha image
*
* - required fields
 

 

Get Free Postoperative Advice

Laparoscopic Surgery Training

If you have a surgical concern and can’t reach a doctor right away, or you’re not sure where else to ask a qualified laparoscopic surgeon, you can get our Medical Help through this Forum of World Laparoscopy Hospital which is available 24 hours a day, Just fill-up the form given and within few our the answer of your question will be posted on this forum. Please keep in mind we answer the question only related to laparoscopic surgery. You can also search and browse thousands of answer already posted on this forum

Using Free Medical Advice Related to Laparoscopic Surgery Service, you can send your questions to our Laparoscopic Surgeon and the Doctor will reply within few hour. It’s as if you are having an email exchange with your very own private surgeon! As soon as you post your question, a qualified laparoscopic surgeon will start answering it. Our expert can help you learn more about the treatment and procedure options available to you for different health problems and diseases.They’ll also give you information to discuss with your doctor when deciding what kind of surgical treatment is best for you.

The Doctor will provide you with the all the medical information you need, and will guide you as you choose a course of action, all from the comfort of your home or office. No more sitting in the waiting room for hours just to get some basic information from your laparoscopic surgeon; no more self-diagnosis after reading pages and pages of confusing and contradictory Online information.

World Laparoscopy Hospital gives you the personalized health information you need to decide on the right treatment for you. The information that you provide will be seen by every person for education and information purpose so please not write your real name.

In case of any problem in asking free medical advice please contact | RSS

World Laparoscopy Hospital, Cyber City, Gurugram, NCR Delhi, 122002, India

All Inquiries

Tel: +91 124 2351555, +91 9811416838, +91 9811912768, +91 9999677788



Need Help? Chat with us
Click one of our representatives below
Nidhi
Hospital Representative
I'm Online
×