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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.

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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)
  • 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.

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