When a male child is born, both testicles should normally be in the sac called the scrotum. The condition where the testicles are not in the scrotum is called undescended testicles or cryptorchidism.
During the development phase of the male embryo in the womb, the testicles that form in the abdomen migrate towards the scrotal sac and settle in place after a while. This event occurs due to genetic and hormonal effects. Both some genetic disorders and some conditions that may disrupt this hormonal order are held responsible for the development of undescended testicles. Endocrine disruptors (plastic bottles, agricultural drugs, food dyes, etc.),which are frequently mentioned in other diseases, are accused of being the main cause of hormonal disorders.
The diagnosis of undescended testicle is made by an examination by a specialist physician in the field. Families and relevant physicians who follow up the baby during infancy should be alert about undescended testicle. It is a common pathology and undescended testicle is seen in 3-5% of newborn male babies.
In a significant number of male babies born with undescended testicle, the testicle that is above descends into the scrotal sac spontaneously in the first months of life. Children born at term should be observed until the first 6 months, and children born prematurely should be observed until this month by calculating their actual age.
In cases where families suspect that their child may have an undescended testicle, they should consult a urologist. Specialists who deal with childhood urological diseases in particular will help with the correct diagnosis and treatment.
Yes. Even if they do not receive any treatment, a significant portion of children with an undescended testicle (30-40%) descend on their own, especially in the first three months. Therefore, surgery should be waited until at least the 6th month. When an undescended testicle is diagnosed, the lower it is, the higher the probability of it descending on its own to its right place, namely the scrotum.
The real treatment for an undescended testicle is surgical intervention. The surgery performed is called orchiopexy. In this way, the testicles are attempted to descend into the scrotum. The use of hormone drugs used for treatment in the past is limited today.
The medical name for undescended testicle surgery is orchiopexy. The testicle is found and released from where it is attached with an incision of approximately 2-3 cm, usually made in the groin area. The cremaster fibers that cause tension are cut and the cord is lengthened. Then, a space is created under the skin in the scrotum and the testicle is moved and placed there.
Cryptorchidism, or undescended testicle, is a pathology that must be corrected. The surgical procedure applied is relatively not a major surgery, and if it is not performed; it seriously increases the risks of testicular cancer, infertility, inguinal hernia and testicular torsion.
Hormones called hCG and GnRH are used for this purpose. Success rates in studies have been approximately 20%. It can be tried in children who are very close to a stroke and have high anesthesia risks due to other diseases.
Yes. Especially if it is not treated in time and is bilateral, this possibility increases as hormonal production disorders will be more common. With timely and correct treatment, the adolescence process progresses normally.
It is known that genetic factors also have an effect, as the incidence of undescended testicles increases in identical twins. However, undescended testicles usually cannot be attributed to a genetic cause and are seen sporadically.
If a man with a history of undescended testicle has a unilateral history, there is no significant difference in the probability of becoming a father compared to the normal population. However, sperm production in men with a bilateral history may be more seriously affected. In addition, if a boy with an undescended testicle is treated on time, the probability of the testicles being negatively affected also decreases. In particular, the testicles of undescended testicle cases that are not treated until puberty may be seriously damaged.
As we mentioned before, the ideal age for undescended testicle is 6-12 month-old babies. Unless there is a special condition, it is considered too late for medical treatment of undescended testicle after the age of 1. This can cause irreversible damage to the testicular structure. Therefore, sperm production is impaired and the risk of testicular cancer increases significantly.
The most important risk factor for the development of testicular cancer is the presence of a history of undescended testicle. This risk is tried to be reduced with timely treatment (at 6-12 months). Studies have determined that in addition to no treatment at all, treatment delayed until after puberty significantly increases the risk of testicular cancer.
Although the fertilization rate is decreased in adults with a history of unilateral undescended testicle, the rate of becoming a father is similar to the normal population. Adult men with a history of bilateral undescended testicle have a lower probability of becoming a father than the normal population. It is important to have undescended testicle treatment done at the right time in preventing infertility.
A shy testicle is not a true undescended testicle. It usually does not require treatment and resolves spontaneously. Due to the hyperactivity of the cremaster reflex, the testicles move upwards in infancy and childhood, but when examined, the testicle can easily be lowered into the scrotal sac and remains there for a while. It can be easily distinguished from a true undescended testicle by an experienced physician.
20% of undescended testicles are located in the abdomen above the groin. In these cases, the testicles cannot be found by manual examination. In cryptorchidism that cannot be found by examination, ultrasonography and MRI images can be used before surgery.
Undescended testicle surgery price varies depending on the localization of the testicle, the experience of the surgeon who will perform the procedure, the conditions of the hospital, and the insurance conditions of the patient in question. Undescended testicle surgery costs range 2000 to 4000 USD in Turkey
For more information WhatsApp: +905324850016
Undescended testicle surgery is routinely performed by Assoc. Prof. Arif Demirbaş at Doruk Nilüfer Hospital for patients of all ages.
Assoc. Prof. Dr. Arif DemirbasUrology Specialist
Assoc. Prof. Dr. Arif Demirbaş
Contact Us
- We were very pleased with the surgery he performed.
- Successful prostate surgery
- I got rid of prostate within 48 hours.
All TestimonialsAssoc. Dr. We would like to express to our doctor Arif Demirbaş that we are pleased with the surgery we had. May God grant whatever he desires, may God bless him. We would also like to thank th{...}
04.04.2023On 03/07/2023, Doruk Hospital urology doctor Assoc. Dr. I had a successful prostate surgery performed by Arif Demişrbaş. I would like to thank him and his team for their close attention both be{...}
10.08.2023My problem of benign prostate enlargement, which has been going on for about 15 years, was addressed by Assoc. Dr. Thanks to Arif Demirbaş, I survived the surgery (thulep prostate surgery) on 0{...}
10.08.2023