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Information for Parents

Undescended Testes- Impalpable

  • What is this disease?

    • Undescended testicles are a common childhood condition where a boy's testicles are not in their usual place in the scrotum. It can be palpable or impalpable. Impalpable means the testes is inside abdomen or absent

  • How it is diagnosed?

    • The diagnosis is done by clinical examination only.

  • How it is treated? 

    • Surgery is the only modality available to treat this condition. It should be done by Laparoscopic method in impalpable testes.

  • When it should be operated?

    • The surgery for undescended testes should be done between 6-15 months of age, as there are chances of spontaneous descent before six months

  • Are there other alternative methods of treatment?

    • Medical management is not successful in this condition, although hormone (HcG) therapy had been tried.

  • What all I need to know before my child surgery?

    • Read “All you need to know before your child's surgery” information booklet in website.

  • How is the surgery done?

    • In Laparoscopic surgery, keyhole incisions are made over abdomen and testes are looked for in abdomen. The findings can be

      • Blind ending vas and vessels- means testes are absent

      • Intraabdominal testes seen- can be brought in single surgery or staged surgery

      • Vas and vessels entering deep ring- needs inguinal exploration

  • Remarks

    • For more details of surgery, contact your surgeon

  • Related Photographs and videos

    • Few photographs of steps done by me and video link is given here for learning purposes .

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