Modern Advanced Surgical Solutions for Undescended Testis in Children in Delhi

The testes are the male reproductive glands responsible for producing sperm and essential hormones such as testosterone. During fetal development, the testes form in the abdomen and normally descend into the scrotum by the seventh month of pregnancy. When one or both testes fail to move into the scrotal sac before birth, the condition is known as undescended testis (cryptorchidism)

Undescended Testis in Children in Delhi is a commonly diagnosed pediatric condition that requires timely medical evaluation to prevent long-term complications.

Why Does Undescended Testis Occur?

Premature birth is one of the most significant risk factors, as the descent of the testes may not be complete at the time of delivery. Other contributing factors include:

  • Hormonal imbalances
  • Genetic conditions
  • Spina bifida
  • Family history of undescended testes

In some children, the testis may move back and forth between the scrotum and groin due to a strong cremasteric reflex. This condition is known as retractile testis and differs from true undescended testis. Rarely, the testis may be absent or may become undescended after previous inguinal surgery.

Types of Undescended Testes:

There are two main categories:

1. Congenital Undescended Testes-

Present at birth when the testis has not reached the scrotum. Prematurity and hormonal or genetic factors are often associated causes.

2. Acquired Undescended Testes-

In this case, the testis is present in the scrotum at birth but later moves upward into the groin. This can occur when the spermatic cord does not grow proportionately with the child’s body, effectively pulling the testis out of the scrotum. It typically develops between one and ten years of age.

Signs and Diagnosis:

Most children do not show visible symptoms. The most common finding is the absence of one or both testes in the scrotum during a routine physical examination. Pediatricians carefully assess testicular position during regular health checkups.

If the testis cannot be palpated, imaging studies such as ultrasound or MRI may be recommended to locate it within the abdomen or pelvis.

When to Seek Medical Attention:

In many cases, healthcare providers identify undescended testis shortly after birth. However, parents should consult a doctor if:

  • One or both testes are not visible in the scrotum
  • A previously descended testis disappears from the scrotum

Early referral to a pediatric surgeon is essential to avoid potential complications.

Potential Complications:

If left untreated, undescended testis may lead to:

  • Testicular torsion: Twisting of the spermatic cord that cuts off blood supply
  • Inguinal hernia: Protrusion of abdominal contents into the groin
  • Reduced fertility: Higher abdominal temperature may impair sperm production
  • Increased risk of testicular cancer: Although uncommon, risk is slightly elevated
  • Psychological concerns due to abnormal genital appearance

Treatment Options: Management depends on the child’s age and overall health. In some infants, spontaneous descent may occur within the first 3–6 months of life. If the testis does not descend by six months, treatment is usually recommended.

Surgical Treatment (Orchiopexy): This is the standard and most effective treatment. The procedure involves repositioning the testis into the scrotum and securing it in place. It is typically performed between 6 and 18 months of age with excellent success rates.

Hormonal Therapy: In selected cases, hormonal injections may be considered to stimulate descent. However, surgery remains the preferred approach in most situations.

Post-Treatment Follow-Up:

After surgery, regular follow-up visits are necessary to ensure the testis remains properly positioned. During adolescence, boys should be educated about routine testicular self-examination for long-term health monitoring.

For specialized care regarding Undescended Testis in Children in Delhi, families can consult Dr. Prashant Jain, widely regarded as the Best Pediatric Surgeon in Delhi. With extensive expertise in pediatric urology and minimally invasive surgery, he offers comprehensive evaluation and advanced treatment tailored to each child’s needs.

#Undescended Testis In Children In Delhi #Best Pediatric Surgeon In Delhi

Location: Delhi, India

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