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Is surgery possible for cryptorchidism in a 25-year-old male?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Uzma Arqam

Medically reviewed by

iCliniq medical review team

Published At June 25, 2018
Reviewed AtFebruary 17, 2024

Patient's Query

Hi doctor,

My husband and I have been trying to have kids. He has cryptorchidism. He did some test already they said the undescended testes is better than the descended on and it has a good blood supply. Is the surgery still possible? He is 25 years old now. What are our chances of having a baby after the surgery at 25?

Answered by Dr. Uzma Arqam

Hi,

Welcome to icliniq.com.

Undescended testes should be corrected in infancy actually. Mode of correction depends on the type of undescended testes. There could be chances of malignancy and infertility if a correction does not occur in infancy. But the positive point here is that your husband having one side undescended and other side, not undescend but other side having a varicocele (attachment removed to protect patient identity). It is not clear in research as well how much chances of fertility correction after correction in the age of 25 years but their could be intrauterine semination, other IVF options always there if just one or two normal sperm could be detected from semen.

Better to consult good fertility advisor or IVF center and surgeon as well for your conception issue but before that have proper investigations and correction of varicocele and undescended testis as well. You need multidisciplinary care and approach to find a correct solution as he needs surgery urgent or not. Before surgery, you can have IVF or IUI or after. All these points need investigations and discussion among all above-mentioned specialist.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Uzma Arqam
Dr. Uzma Arqam

Obstetrics and Gynecology

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