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Fetal & Pediatric Surgery (Expert Forum)
Undescended testicle
Answered by
The Children’s Hospital of Philadelphia
Questions in this forum are answered by pediatric and fetal surgeons from The Children's Hospital of Philadelphia. This forum is for questions and support about issues such as abdominal and thoracic surgery, minimally invasive surgery, oncologic surgery, trauma surgery, fetal surgery and surgery to treat congenital disorders and malformations.
Undescended testicle
by gralopie, Jul 28, 2009 12:24AM
My son is 9 mos old. His left testicle is and has always been non-palpable. His right testicle was descended at birth, but has started to ascend for the past couple of months; it however, is still palpable, being felt when milking it down toward the scrotum. We will be consulting with a pediatric urologist. It may be a while before he gets us in, as he is the only one in the state. I understand that sometimes testicles for one reason or another, don't descend, but am concerned as to why the right testicle is traveling back up.
Doctor's Answer
by Thane A Blinman, MD, FAAP, Aug 05, 2009 02:01PM
, Aug 05, 2009 02:01PM
He may have what is called a "retractile testis" on the right side. Here, while the testis made it to the scrotum, the gubernaculum (the "anchor" that keeps the testis in the scrotal sac) may be stretched or otherwise ineffective. The main risk is that this could become what is called an "ascending testis" where the testis essentially acts like an undescended testis--it stays up in the canal. Having one undescended testicle (the left) may have incresed his risk of having an abnormality of descent on the other (right) side.
Your pediatric urologist can help with this (and it is ok to wait until the appointment). The repair (if needed) will be the same as that for the Left side. Perhaps he will give you a two-for-one coupon!
Your pediatric urologist can help with this (and it is ok to wait until the appointment). The repair (if needed) will be the same as that for the Left side. Perhaps he will give you a two-for-one coupon!
