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Undescended Testis
Undescended testis is found in 3% of term boys and 30% of preterm boys.
When the baby is formed in the womb, the testis is initially formed inside the baby’s belly. As the fetus (baby in the womb) grows, the testes gradually descend out of the body and reach the scrotal sac. When this does not happen, or is arrested half way, the result is ‘Undescended testis’.
What do you see – Presentation
Empty scrotum one side or both sides, can be identify in new born. It can descend in three to four months without any intervention.
When I see such patients, I find..
Absent testis is observed in the scrotum, bulge in the inguinal region (Hernia with testis). USG of abdomen and inguinal region. MRI scan of abdomen
Treatment why...?...when..?
Infertility; Twisting of Testis (Torsion); Testicular tumour. Has to be treated before six months of age
Treatment options
Palpable testis (inguinal region) - Open orchidopexy
Non palpable (intra abdominal) - only laparascopic orchidopexy
Problems : Pain, scrotal swelling.
Follow Up care
The patient has to stay two days in hospital , they can take food same day, can go to school after four to five days, all sutures are dissolvable, review after fifteen days of surgery.
My Experience
I have done more than two thousand undescended testis operations.
Dr. C. SankkaraBarathi
MBBS, MS (Gen), MCh (Paediatric Surgery)
Paediatric Surgeon
Paediatric Urologist
Quick Contact
- SRI SAINATH HOSPITAL AND RESEARCH INTITUTE, Old No.11, New No.9, McNichols Road, 4th Lane, Chetpet, Chennai – 600031 (Opp. to Chetpet Police Station)
- drcsbarathi@yahoo.co.in
- 044-28363234 / 28361535 / 48639988 / 42867758
- 9840113875
My Advice on Common Conditions
Undescended Testis
Undescended testis is found in 3% of term boys and 30% of preterm boys.
When the baby is formed in the womb, the testis is initially formed inside the baby’s belly.
Wilms Tumour
This is one of the most common childhood tumour, it affect the kidney, usually affects school going kids, one of the good prognostic tumour.
Phimosis
Narrowing of foreskin or non retractile foreskin. Empty scrotum one side or both sides, can be identify in new born. It can descend in three to four months without any intervention.
Tongue Tie
Is a congenital oral anomaly which may decrease mobility of tongue tip & is caused by an unusually short thick lingual frenulum.
Hypospadias
Abnormal opening of Urethral opening in the under surface of penis, very common pediatric urological problem Incidence is one in five hundred.
Intussusception
Intussusception is the invagination of one part of intestine into another. This occurs in one in 2000 infants. It is the most common abdominal emergency in infants.
Habit Constipation
This is one of the common condition - a child with constipation may have bowel movements less frequently than normal, hard bowel movements, or large, difficult, painful bowel movements.
Hernia - Hydrocele
A small passage has developed or left open connecting the belly to baby's groin, the second common surgical condition next to phimosis.
Appendicitis
Most common acute surgical condition in pediatric age group incident is nearly nine percent in male children and seven percent in female children.
Congenital pyloric stenosis
This occurs between 4th week of age to 6 week of age, can occur in new born also, exact cause not known.