An undescended testicle, or cryptorchidism, means one or both testicles have not moved down into the scrotum before birth. It is one of the more common conditions seen in infant boys, particularly those born prematurely, and it is usually straightforward to treat.
An undescended testicle left in place is associated with reduced fertility later in life and a higher risk of testicular torsion, and it makes self-examination harder in adulthood. For those reasons treatment is usually recommended within the first twelve to eighteen months.
Some boys have a testicle that moves up and down between the scrotum and the groin. This is usually a normal variant that is monitored rather than operated on, and telling the two apart is part of the examination.
The operation brings the testicle down into the scrotum and secures it there. It is normally a day-case procedure through small incisions in the groin and scrotum. When a testicle cannot be felt at all, laparoscopy is used to locate it first.
A hydrocele is a collection of fluid around the testicle that causes painless swelling. It is common in newborns and often settles on its own during the first year. A hydrocele that persists, or one that changes in size through the day, may need repair.
Most children go home the same day. There is some discomfort for a few days, and straddle toys and rough play are usually avoided for a few weeks. A follow-up visit confirms the testicle has stayed in position.
A testicle that cannot be felt in the scrotum should be assessed. Sudden severe scrotal pain or swelling is an emergency and needs immediate attention.
To discuss your child's care, you can learn more about Dr. Philip K. Frykman, MD, FACS or read about the full range of pediatric surgery services at Surgery Group LA. To arrange a consultation, call (310) 861-7493.
Often it does in the first few months. After around six months this becomes unlikely, which is when referral is usually recommended.
Most commonly within the first twelve to eighteen months, though timing is individual.
No. A hydrocele is fluid around the testicle rather than a testicle in the wrong position, and many resolve on their own in the first year.
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