Q. Would the surgery to correct undescended testicle cause any side effect?

Answered by Dr. Aman Gupta and medically reviewed by Dr. Sneha Kannan

 

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Hi doctor,

My son who is 11 years old now has a undescended right testicle. Ultrasound determined that it was in the inguinal canal when he was 8 years old. We have been waiting for it to come down, but it has not. Does the surgery to correct the testicle improve fertility? Or does it lessen the chance of malignancy? I would like to monitor through ultrasound. I am wondering what your thoughts are on this course of action.


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Dr. Aman Gupta
M.CH UROLOGY AND KIDNEY TRANSPLANT., M.S GENERAL SURGERY
Andrology, Urology

Hi,

Welcome to icliniq.com.

I suggest that surgical correction should be done to bring it down as low as possible. Reason being, it permits self palpation of testis for early detection of any tumor.

Frequent ultrasound is not feasible or practical to think of. Self palpation can be done every day. Ultrasound cannot be done every day. Surgery is a minor one. If it is already shrunken, in my opinion the surgeon may suggest removal of it. Do not be afraid and go ahead.

 

Hi doctor,

I spoke with another doctor who said yearly ultrasound is an option. There is no risk with that option just the possibility of follow through. In my opinion, the risk of major surgery seems to outweigh monitored malignant risk. Other than the risk of malignancy and not being able to do self-exam, is there any other reason for this surgery?

 

Dr. Aman Gupta
M.CH UROLOGY AND KIDNEY TRANSPLANT., M.S GENERAL SURGERY
Andrology, Urology

Hi,

Welcome back to icliniq.com.

No, there is no other reason except the ability to do self-examination.

 
 
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