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Recent Blog Articles. Health news headlines can be deceiving. Why is topical vitamin C important for skin health? Preventing preeclampsia may be as simple as taking an aspirin. Caring for an aging parent? This usually happens in the eighth month of pregnancy. A baby or child with undescended testes will have one or more of their testes located in the groin or abdomen instead of the scrotum.
Usually doctors cannot find the cause; however, some hormone and genetic disorders can cause undescended testes. In babies born early premature babies , the testes may not have had time to move down into the scrotum by the time the baby is born.
Sometimes a child is born with the testes in the scrotum, but they develop undescended testes later. As the child grows, the spermatic cord fails to grow at the same rate.
It ends up too short, and pulls the testis back up into the groin. This can happen between one and 10 years of age. If your baby is born with undescended testes, this will be picked up by your Maternal and Child Health Nurse or your doctor shortly after birth.
Your baby's condition will be monitored. If your baby's testes were in the scrotum at birth, and one or both of them disappears from the scrotum, see your GP. You will be referred to a paediatrician or paediatric surgeon. It is very important that the testes be brought down to the scrotum. For babies born with undescended testes, the testes may come down by themselves in the first three months after birth, and no treatment is needed.
If the testes do not come down by themselves, your child will be monitored, and if they are not down after six months, an operation called an orchidopexy ork-id-o-peck-see is needed. An orchidopexy brings the testis down into its normal location in the scrotum.
Orchidopexy is done under anaesthesia. During surgery, a small cut is made in the groin and the cord is gently stretched to free up the testis. A second cut is made in the scrotum and the testis is secured inside the scrotum. The cuts are then stitched up.
This operation is usually a day procedure and your child should be able to go home on the same day. In most cases no treatment is necessary, as the testicles will usually move down into the scrotum naturally during the first 3 to 6 months of life.
The medical term for having 1 or 2 undescended testicles is unilateral or bilateral cryptorchidism. Undescended testicles are usually detected during the newborn physical examination carried out soon after birth, or during a routine check-up at 6 to 8 weeks.
See your GP if at any point you notice that 1 or both of your child's testicles are not in the normal place within the scrotum. Undescended testicles aren't painful and your child isn't at risk of any immediate health problems, but they should be monitored by a doctor in case treatment is needed later on. During pregnancy, the testicles form inside a baby boy's tummy abdomen before slowly moving down into the scrotum about a month or 2 before birth. It's not known exactly why some boys are born with undescended testicles.
Most boys with the condition are otherwise completely healthy. Being born prematurely before the 37th week of pregnancy and having a low birth weight and a family history of undescended testicles may increase the chances of a boy being born with the condition. Pediatric urologists are experts in both open and laparoscopic surgery.
Laparoscopy is surgery done through thin tubes put into your child's body through a small cut. The surgeon uses a special camera to see inside your child's body.
The surgeon will find one of 3 situations:. The testicle won't drop after 3 months of age, so the only treatment choice is surgery.
Surgery is recommended after 6 months of age. The timing takes into account when the child is able to handle anesthesia and the surgery. Drugs or hormone treatment aren't useful. This surgery is called an orchiopexy. The child is put under general anesthesia for this surgery.
Almost always the child can go home the same day and is back to normal within 1 to 2 days. A cut about 1 inch long is made in the groin area most often it can hardly be seen later. The testicles is freed from all nearby tissues so that it moves easily into the scrotum. Then it is stitched into place. If there's a hernia, it's fixed at the same time. In some cases, the testicle is too high for this simple surgery.
If this is the case, more complex methods and sometimes even 2 surgeries are needed. Overall, the success rate with surgery is 98 out of After treatment, the testicle often grows to normal size in the scrotum. In some cases, the testicle wasn't normal to start with, and never grows the right way.
In other cases, sperm never grow, even though the testicle size is normal.
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