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 .