Usually, undescended testicles descend on their own within the first three to four months of a baby’s life. However, if they haven’t descended by the time the baby boy is four months old, your paediatrician may refer you to a paediatric surgeon for further treatment.
Surgery is the primary treatment option for undescended testicles, with the aim of moving the undescended testicle to its proper place. This procedure may be performed as a laparoscopy as an open surgery, and should ideally be performed while the child is between six months to a year old. Early treatment of undescended testicles lowers the risk of further complications, such as testicular cancer or <infertility>. However, the paediatric surgeon will make a decision on the time of the surgery based on the child’s general health and the location of the testicles.
Post-surgical monitoring is very important for ensuring thorough recovery after the procedure. Physical examinations, ultrasounds and hormone tests will help monitor your child’s post-surgical recovery.
In some cases, the testicular tissue may be poorly developed or abnormal, because of which the surgeon may have to remove it altogether. If one or both of your son’s testicles have to be removed, you could be recommended testicular prostheses that can be implanted during childhood or adolescence. Hormone treatments may also be prescribed if both of the testicles have been removed.
As with any surgical procedure, make sure you discuss the possible risks and complications before agreeing to it. Your paediatric surgeon working with the <Children’s Hospital Service Line> at The Aga Khan University Hospital will inform you in detail about the risks of surgery and answer all your queries and concerns.
It is recommended that examination of the testicles be conducted even after the corrective surgery, which you can discuss further with your doctor.