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Urology (Expert Forum)
Testicluar Torsion in Infant
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Testicluar Torsion in Infant
by james k, Jun 11, 2007 12:00AM
My wife and I just went to our pediatrician for our son' 2 month checkup. At the checkup the dr. noticed the my son's left testicle was missing. We have an appt. with a pediatric urologist later this week, but I have concerns. We were told it is one of two things, retractable testicle or vanishing testicle syndrome as a result of testicluar torsion. My dr. feels it is more likely a vanishing testicle. My question is this. If the testicle was lost as a result of testicluar torsion do we have to worry about damage being done to the remaining testicle. From what I have read the child can be sexually normal with one testicle but obviously we do not want to lose the other testicle. As mentioned we have an appt. in two days, but should we go to the hosiptal and are there any immediate and emergency concerns regarding his remaining testicle or are we ok to just wait for our appoitment. Also is there anything we should be looking for in our son's genitalia.
Thanks,
Thanks,
Doctor's Answer
by Kevin Pho, MD, Jun 12, 2007 12:00AM
, Jun 12, 2007 12:00AM
I can't make recommendations regarding urgent or emergent treatment without evaluation.
I agree with the referral to a pediatric urologist. In the case of an undescended testicle, hormonal or surgical treatment can be considered. Administration of GnRH is moderately effective if the hormonal route is chosen.
If the symptoms are refractory, surgical options may need to be considered.
Regarding torsion, there is a possibility that it affect the other testicle as well.
These questions should be discussed with your specialist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
I agree with the referral to a pediatric urologist. In the case of an undescended testicle, hormonal or surgical treatment can be considered. Administration of GnRH is moderately effective if the hormonal route is chosen.
If the symptoms are refractory, surgical options may need to be considered.
Regarding torsion, there is a possibility that it affect the other testicle as well.
These questions should be discussed with your specialist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
