Pediatrician Questions Undescended Testicle

What should I do if son's testicle hasn't descended?

My son was born prematurely and we realized that one of his testicles hasn't descended yet. We contacted our pediatrician and he said that we should wait a couple of months to see if it drops. He's 10 months old. What will happen if the testicle never descends?

5 Answers

The ideal time for having a urologist consult is around 4-12 months of age. Potential complications and sequelae of true undescended testes (but not retractile or absent testes) include inguinal hernia, increased risk of testicular torsion and testicular trauma, subfertility, and malignant transformation (cancerous transformation).
Testicles in full-term infants should have descended by age 6 months. Ex-premature babies should both testes descended by age 10 months. Your son almost certainly requires surgical correction (Orchidopexy), ideally by a pediatric urologist.

George Klauber, M.D.
He should see a urologist. It depends on where the testicle is, and was it ever developed. Sometimes they can try giving in injection (HCG) to help the testicle descent, though its effectiveness and use is controversial. If by one year it has not descended he needs an ultrasound to locate the testicle, and he should have a surgical procedure to pull it down and place it in the scrotum. People with undescended testicle have a much higher chance of developing cancer in their testicles (both testicles), and the testicle needs to be pulled down so it can properly bee self examined going forward. Whether the surgery, called orchiopexy, helps in future fertility or testosterone production is not as well understood.
Good morning,
We give baby boys up to 1 year for the testicles to drop into the scrotum. If they haven’t descended by then, an ultrasound is done to make sure they are either in the inguinal canal or abdomen. If they are in the canal, we watch, however, if they are in the abdomen, they go surgery to have them pulled down.
If the testes stays in the abdomen, the tempature is too high and the testes will be non functional. Also, testes left in the abdomen have a higher risk of caner later on. I would soon see a Urologist about this.