Hi
I'm 37yrs old and I have undescended testicle from birth, today consulted urologist.
He suggested to remove
Ct scan below results
"REPRODUCTIVE ORGANS: Undescended right testicle in the right lower quadrant measuring up to 2.9 x 2.0 cm (axial image 106/145)."
What would be the suggested whether keep it in scrotum or removal?
Please suggest
Answers (8)
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If you are 37 years old and have had a right undescended testicle since birth, your urologist's recommendation to consider removal is medically understandable. The CT finding confirms that the right testis is still undescended, located in the right lower abdomen, and relatively small at 2.9 Ã 2.0 cm. In an adult with one undescended testicle and a normal opposite testicle, current EAU guidance generally favors orchidectomy (removal) when the hormonal function and sperm production are normal. The reason is that a testicle that has remained undescended since childhood has a substantially increased lifetime risk of germ-cell cancer and is difficult to examine reliably for early cancer detection. At age 37, the likelihood that this testicle will provide meaningful fertility benefit is also lower than it would have been if corrected during childhood.
However, orchidopexy (bringing it down into the scrotum) can be considered in selected adultsâparticularly if the opposite testicle is abnormal, testosterone production is impaired, or there is infertility/spermatogenic failure and the undescended testis is technically salvageable. If orchidopexy is chosen in an adult, guidelines recommend considering a testicular biopsy at the time of surgery to assess for germ-cell neoplasia in situ.
Next Steps
If your left testicle is normal, testosterone is normal, and fertility is not dependent on the right testicle, then removal of the longstanding undescended right testicle is generally the guideline-supported option rather than bringing it down simply for cosmetic reasons.
Health Tips
Having one healthy descended testicle is generally sufficient for normal testosterone production, erections and sexual function, and many men with unilateral cryptorchidism can father children. The important issue in your situation is not masturbation or sexual activityâit is the longstanding undescended testicle and its cancer/fertility implications. If you are uncertain about removing it, getting a second opinion from a urologist who routinely manages adult cryptorchidism is very reasonable before surgery. Thank you
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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