Cryptorchidism, or undescended testicle, is a condition in which one or both testicles have not descended into the scrotum at birth. It is more common in premature babies and affects approximately 3% of full-term newborns.
What is cryptorchidism?
During pregnancy, the testicles form inside the abdomen and descend into the scrotum during the third trimester. When this process is not completed, the testicle remains in the abdomen or inguinal canal.
Can it come down on its own?
In many cases, the testicle descends spontaneously during the first 3 to 6 months of life. That is why pediatricians usually recommend observation during this period. However, if by 6 months the testicle has not descended, it is very unlikely to do so on its own.
When to operate?
Orchidopexy (surgery to fix the testicle in the scrotum) is recommended between 6 and 12 months of age. It should not be delayed beyond one year because:
- Fertility: The heat of the abdomen can damage sperm-producing cells
- Risk of torsion: An undescended testicle has a higher risk of twisting
- Early detection: A testicle in the scrotum is easier to examine and detect future problems
- Psychological development: Prevents the child's concerns about their body at school age
What is the surgery like?
Orchidopexy is outpatient and lasts between 30 and 60 minutes. The surgeon locates the testicle, frees it, and fixes it in the scrotum. Recovery is quick: the child can resume normal activities in 1-2 weeks.
What about the retractile testicle?
It is important to differentiate cryptorchidism from the retractile testicle, where the testicle moves up and down due to muscle reflex. The retractile testicle generally does not need surgery but should be periodically evaluated by a specialist.
If you notice that your son does not have one or both testicles in the scrotum, consult a pediatric surgeon for timely evaluation.
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