Blog

17 September, 2018 by Admin

Management Of Undescended Testis (UDT)

Management Of Undescended Testis (UDT)

An undescended testicle (or “testis”) is when it fails to drop into the normal place in the scrotum. This is found in about 3 or 4 out of 100 newborns (and up to 21 out of 100 premature newborns). Luckily, about half of these testicles will drop on their own during the first 6 months of life.

Normal testicles are formed in the lower belly (abdomen), but descend, or “drop,” into the scrotum towards the end of pregnancy. Testicles that don’t drop into the scrotum won’t work normally the reason being, scrotum is many degrees cooler than body temperature, and so is the ideal place for the testicle.

The longer the testicles are too warm, the lower are the chances that the sperm in the testicle will mature normally and testis will tend to get damaged. This can be a cause of infertility, especially when both testicles are affected. UDT are also linked to a higher risk of testicular cancer in adulthood, testicular torsion and developing a hernia near the groin.

A good clinical examination is required to diagnose UDT. If the testicle is palpable in the groin then it is known as a “Palpable UDT”. A testes that can’t be felt in a physical exam is called “Non-palpable.” Non-palpable testis may be in the abdomen (undescended), absent, or very small (“atrophic”). A UDT left inside the abdomen could form a tumour later in life.

Unfortunately, there’s no test, such as an ultrasound, that can definitively show whether a testes is present. Laparoscopy is the only ideal way to locate the non-palpable testis.

If the testes won’t drop till 6 months of age, the only treatment of choice is surgery. Surgery is recommended after 6 months of age. Management of UDT which can be felt (Palpable): Surgery for palpable UDT is called “Orchidopexy” and is done as a day care procedure. A cut of about 1 inch long is made in the groin area (hardly visible). The testicles is freed from all nearby tissues so that it moves easily into the scrotum.

For a non-palpable undescended testicle(eg testis inside the abdomen) Laparoscopic Surgery is the treatment of choice. Laparoscopic Surgery is done through thin tubes put into a child’s body through a small cut. The surgeon uses a special camera to see inside the child’s body. By Laparoscopy, surgeon can not only locate the testis but can also confirm the size and then bring the testis down. If the testis is atrophied it can be removed. Some cases of undescended testis in which the testis is lying high up in the abdomen requires two stage surgery.

Category : Undescended Testis

Tags: Laparoscopic Surgery, Management Of Undescended Testis, Undescended Testis

Tag Cloud

Abdominal Cyst Adrenal Masses antenatal hydronephrosis Antenatal Hydronephrosis Diagnosed Appendicitis Best hypospadias surgeon in delhi best pediatric doctor best pediatric laparoscopy surgeon in Delhi best pediatric surgeon in Delhi best pediatric surgeon in India best pediatric urologist best pediatric urologist in Delhi Best pediatric urologist in India Bilateral Adrenal Pheochromocytoma Biliary atresia Bladder exstrophy Care after Hypospadias surgery Causes of Hydronephrosis causes of vesicoureteric reflux Choledochal cyst Colonic interposition Conjoined Twins Conjoined Twins Surgery Diagnosis Of Ureterocele Duplex Renal System Epispadias Esophageal Replacement Surgery In Children Failed Hypospadias Surgery Gallstones Gastric interposition Gastric tube interposition Genito-urinary disorders Hemi-Nephrectomy Hirschsprung disease Hydrocoele hydronephrosis Hydronephrosis Surgery Hydronephrosis surgery cost hydronephrosis treatment in Delhi Hydrostatic Reduction Hydrouretronephrosis Hypospadias hypospadias repair hypospadias surgeon in delhi Hypospadias Surgery Imperforate anus Inguinal Hernia intussusception Jejunal interposition kidney cancer in children Kidney salvage surgery kidney tumour in children Laparoscopic Laparoscopic Cholecystectomy Laparoscopic Splenectomy Laparoscopic Surgery Laparoscopic Surgery In Children laparoscopic urological surgeries in children Laproscopic Appendicectomy Management Of Undescended Testis Mediastinal tumors Merkel’s diverticulum Minimal Access Management Minimal access surgery minimally invasive surgery Neonatal Surgery in Delhi Nephroblastoma Paediatric Laparoscopic Surgeon In Delhi Paediatric Surgery Paediatric Urology pediatric disorders pediatric laparoscopic surgeon in Delhi Pediatric laparoscopic surgery in Delhi Pediatric laparoscopic surgery in India pediatric laparoscopy surgery Pediatric Robotic Surgery Pediatric surgeon pediatric surgeon in delhi pediatric surgeon in india Pediatric Surgery Pediatric Urodynamic services Pediatric urodynamics pediatric urological pediatric urologist Pediatric Urologist In Delhi Pediatric Urology pediatric urology surgeon Pelvi-ureteric Junction Pelvic-ureteric junction obstruction Pheochromocytomas Polycystic Kidney Posterior Urethral Valve Postnatal Management Of Hydronephrosis Prognosis Of Antenatal Hydronephrosis RAS surgeries Robotic Pyeloplasty Robotic Surgery Robotic Surgery In Children Scrotal Swelling Scrotal Swelling Treatment In India Signs of Hydronephrosis Symptoms Of Ureterocele Symptoms of vesicoureteric reflux Thoracoscopic Surgery Thoracoscopic Surgery In Children treatment for Wilms' tumour Treatment Of Duplex Renal System Treatment Options For Antenatal Hydronephrosis Undescended Testes In Children Undescended testicles Undescended Testicles In Children Undescended Testis Ureteral reimplantation Ureterocele Treatment In India ureteropelvic junction Ureteropelvic junction obstruction Ureteroureterostomy Urethral obstruction Urinary tract infection Urological surgeries in children Varicocele vesico ureteric reflux Vesicoureteral Reflux Vesicoureteral Reflux Causes Vesicoureteral Reflux Symptoms Vesicoureteral Reflux Treatment Vesicoureteral Reflux Treatment In India Voiding Cystourethrogram Wilms Tumor Wilms Tumor Treatment In Delhi Wilms Tumor Treatment In India Wilms’ tumour World birth defects day

Locations & Directions

BLK-Max Super Speciality Hospital
Building No-5, Pusa Road, Rajinder Nagar, New Delhi, India – 110005

+91 9582 413 828, 8766 350 320 | docpedsurg@gmail.com