Undescended testicle

Question

Asked for Male, 30 Years

Sir /Madam, My son is 3.5 month old. I already discussed about this issue. Pediatric surgeon told me my son has no left testis in abdomen and scrotum. I want to know that any problems will created in his future? Pls. Help me.

Answers (2)

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Dr. Harshil Savalia

Pediatrician 9 yrs exp Ahmedabad

Need detailed history and examination along with sonography/ CT scan reports.

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Dr. Manoj I. J. Pediatrician 19 yrs exp Bangalore · Accepted Answer

Dr. Manoj I. J.

Pediatrician 19 yrs exp Bangalore

Hi, I hope you understand that undescended left testis is totally different from absent or a "yet-to-be-located" testis. In your heading, you mentioned undescended testis whereas in your query' body, you have mentioned that "has no left testis in abdomen and scrotum": so first, this has to be answered along with confirmation of phenotype & genotype. Also attaching images of your consults & imaging will surely help in reaching a helpful conclusion! Regarding "any problems will be created in future", if a testis is left in intra-abdominal location, not only risk of possible future virility but also concern of potential malignancy in later life is there.

Next Steps

Please approach your nearest Pediatrician or Pediatric Surgeon, who will guide you in the workup required (after clinical examination). If intra-abdominal testis, hormonal manipulation can be attempted later as he is just 3.5 months old now.

Health Tips

Please check the abdomen, inguinal canal & scrotum for left testis with (in order of increasing accuracy, USG abdomen & scrotum, CT abdomen & pelvis with/without contrast, MRI abdomen & pelvis +/- MR angiogram).....it shouldn't be so a difficult clinical issue!!