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HomeAnswersUrologyundescended testisHow to treat an undescended testis in an 11-year-old boy?

What should we do for our son's undescended testis?

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

Medically reviewed by

iCliniq medical review team

Published At January 16, 2017
Reviewed AtJune 27, 2023

Patient's Query

Hello doctor,

My son is 11 years old. He had undescended testis. The doctors found it diminishing, and they removed it through surgery. The other testis is still undescended. It is very small in size, and as per doctor the cord attached to it is small and hence cannot be brought down. Kindly advise.

Hi,

Welcome to icliniq.com.

The child had undergone orchidectomy for 0.15 to 0.19 inch atrophic testis which is too small to have a function. Only preoperative imaging studies to document the size of palpable inguinal mass or testes is not available. The other testis needs to be brought into the scrotum as it is also getting atrophic and with time the final functional potential of the testes may get damaged irreversibly. At this age, the catch-up growth may not be expected much. If the clinical examination indicates that the testes are coming to the neck of the scrotum, then it would not be difficult doing orchidopexy on remaining side. Long term sexual function may not be affected much, but fertility potential has a guarded prognosis. Fertility issue can be managed later on. Management till now looks fine. Go ahead with orchidopexy on the remaining side.

Treatment plan

Orchidopexy on the right side.

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

Dr. Choudhary Devendra
Dr. Choudhary Devendra

Urology

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