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Help with my 18month old son... Psst Hernia repair
My son had bilateral hernia repair a month ago. He tolerated everything fine. I have just noticed that one of his testicles is high and tight... even in a warm bath, and it was NORMAL- (hung low in the bath) before surgery. I've made a follow up for next week.. .but what could've caused this and what could be wrong?
He got seen by the surgeon on Thursday and he wasn't overly concerned. He agreed it was tighter than the other and said it could've been cause during the healing process, as you said. He is going to see him again in 4 weeks. He felt like it was at an ok position as long as it was outside the body cavity and into the scrotum. He also suggested that the tightness may decrease with time. In general, I like the way this surgeon works and trust his opinion ok... do you think that I need a second opinion from another surgeon or a urologist? Or do you think it's ok to wait and see if it loosens a little or to re-assess in 4 months? Thanks.
MEDICAL PROFESSIONAL
Hi,
Thanks a lot for your clarification. Then on the left side there’s a possibility of tethering to the scar tissue resulting in testicular ascent. You should consult a surgeon and consider for orchidopexy as a remedy for the same as the functional capacity of the testes decreases if it remains high as you know the body temperature is high and the testes can get damaged if their temperature remains high.
I sincerely hope that helps. Please do keep me posted. Warm regards.
Thanks a lot for your clarification. Then on the left side there’s a possibility of tethering to the scar tissue resulting in testicular ascent. You should consult a surgeon and consider for orchidopexy as a remedy for the same as the functional capacity of the testes decreases if it remains high as you know the body temperature is high and the testes can get damaged if their temperature remains high.
I sincerely hope that helps. Please do keep me posted. Warm regards.
The above description happened on his left side... on his left, the testicle was not high before the surgery and his hernia on the that side was not palpable, so it wasn't already high and concealed by hernia.
On his right side, the testicle was often hard to find because it was hidden by the hernia, but that side is normal now post op.
On his right side, the testicle was often hard to find because it was hidden by the hernia, but that side is normal now post op.
MEDICAL PROFESSIONAL
Hi,
What you are referring to is known as Secondary testicular Ascent and it’s a known complication of inguinal herniotomy (hernia surgery). The small mobile prepubertal testis is either dislocated from its normal scrotal position or due to the tethering by the scar tissue prevents its normal scrotal descent. The incidence of this complication is from 1-3%. Actually, in some cases, the testis may already lying high in the scrotum and may be concealed by the hernia.
For the descent of the testis back to the scrotum, another procedure is required which is known as orchidopexy.
I’ll suggest you to consult the surgeon and get some more insight of the same.
I sincerely hope that helps. Please do keep me posted. Kind Regards.
What you are referring to is known as Secondary testicular Ascent and it’s a known complication of inguinal herniotomy (hernia surgery). The small mobile prepubertal testis is either dislocated from its normal scrotal position or due to the tethering by the scar tissue prevents its normal scrotal descent. The incidence of this complication is from 1-3%. Actually, in some cases, the testis may already lying high in the scrotum and may be concealed by the hernia.
For the descent of the testis back to the scrotum, another procedure is required which is known as orchidopexy.
I’ll suggest you to consult the surgeon and get some more insight of the same.
I sincerely hope that helps. Please do keep me posted. Kind Regards.
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