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Urology (Expert Forum)
juvenile asending testes
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
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.
juvenile asending testes
by Grimey, Aug 11, 2003 12:00AM
As a 4 and 5 year old, I suffered intermittent asending testes which sometimes needed medical assistance. At 5 and 7 in 1949 and 1951 Iwas operated on for what I was told was a hernia but which I now know was probably to correct the problem of ascending testes. My testes have never developed and I have always been sterile. In 1967 I suffered a inguinal hernia which was repaired. Post operatively my right testis appeared enlarged but this disappeared after some weeks. I am injected with monthly shots of Sustanon which commenced at age 57. These have increased my libido measurably and have increased my penile size. I have been embarrassed by the lack of any size to my testes and have considered prothesis to avoid that embarrassment and to give me some esteem. Is there anything I should be doing at my age to avoid any long term effect of my condition? Can I have a prosthesis without associated risk?
Doctor's Answer
by Kevin Pho, MD, Aug 13, 2003 12:00AM
, Aug 13, 2003 12:00AM
Typical testicular prostheses are made of silicone and come in various sizes to fit the missing testicle. One of the complications is scarring around the foreign testicle and it often becomes fixed in the scrotum. If this happens, the discomfort may lead to the removal of the testicle prosthesis.
In terms of screening for testicular cancer (which is the complication of undescended testes), there have been no studies that suggest a mortality benefit for radiologic or lab studies. I would suggest continuous follow-up with your personal physician to make sure that this complication does not develop.
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.
Thanks,
Kevin, M.D.
In terms of screening for testicular cancer (which is the complication of undescended testes), there have been no studies that suggest a mortality benefit for radiologic or lab studies. I would suggest continuous follow-up with your personal physician to make sure that this complication does not develop.
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.
Thanks,
Kevin, M.D.
