During intrauterine development, the testicles form in the abdominal cavity and gradually descend through the inguinal canal into the scrotum, which is necessary for the proper development of male germ cells (sperm). Undescended testicles are the most common congenital disorder of the male genital tract. Descent occurs around the 7th month of intrauterine development, so it is more common in premature babies. It is a developmental defect with a higher risk of cancer in the affected testicle and a higher risk of infertility.
In the first months of life, the level of sex hormones temporarily increases, and the testicles may still descend into the scrotum on their own. This usually occurs around the 4th to 6th month of life. However, if the testicles are not in the scrotum after the 6th month, surgical treatment (called orchidopexy) is necessary. The procedure is performed through a small incision in the lower abdomen, the testicle is released and fixed in the scrotum through another small incision. The method is safe and has only a small number of complications.
Delaying surgical treatment leads to greater damage. Testicular cancer most commonly occurs in boys and men aged 15-35 years. The biggest risk factor for testicular cancer is undescended testicles.
Basic Information
- The procedure is performed under general anesthesia
- After the operation, the child stays in bed for a few hours in the postoperative room in the presence of a parent
- After the postoperative visit and parent instructions, the child goes home on the day of the procedure accompanied by a parent
- After the operation, the patient has 2 wounds: one in the groin and one on the scrotum
- The stitches are absorbable, there is no need to remove them
- Parents continue to care for and dress the wound at home according to the doctor's instructions until it is completely healed
- The patient experiences slightly more pain in the postoperative period
- It is recommended to maintain a calm regime for 3-6 weeks
- Walking can begin from the second week
- Proper hygiene is important - limit bathing, only shower during recovery
- Healing is usually without complications, after complete healing, the scars are minimal