Undescended Testicles

Undescended Testicles (Cryptorchidism) Specialist in Jalandhar – Dr. Rajesh Aggarwal | Sarvodya Hospital
Undescended Testicles

Undescended testicles, also known as cryptorchidism, is a common urologic condition where one or both testicles fail to move into the scrotum before birth. This condition most often affects infant boys, but if left untreated, it can lead to complications later in life, including infertility and increased risk of testicular cancer.

At Sarvodya Hospital, under Dr. Rajesh Aggarwal, a leading urologist with expertise in pediatric and adult urology, offers comprehensive evaluation and surgical treatment for undescended testicles in children and adults.

What Is Undescended Testicles:

During fetal development, the testicles form in the abdomen and normally descend into the scrotum before birth. If this descent is incomplete, the testicle remains in the groin, abdomen, or inguinal canal, instead of settling into the scrotum.

This condition is more common in:

  • Premature babies
  • Low birth weight infants
  • Twins or family history of cryptorchidism
 Types of Cryptorchidism
  • Unilateral Cryptorchidism – Only one testicle is undescended
  • Bilateral Cryptorchidism – Both testicles are undescended
  • Palpable Testes – Testicle can be felt on physical examination

Non-palpable Testes – Testicle is not felt and may be intra-abdominal or absent

Symptoms and Diagnosis

Undescended testicles are usually diagnosed at birth during a routine physical exam. The primary sign is an empty scrotum or scrotum that appears smaller on one side.

In older children or adults who were not treated in childhood, the condition may be diagnosed during evaluation for:

  • Infertility
  • Testicular pain
  • Inguinal hernia
  • Undescended testis discovered on imaging

 

Risks of Untreated Undescended Testicles

Leaving undescended testicles untreated can lead to serious health concerns, including:

  • Infertility or reduced sperm production
  • Increased risk of testicular cancer
  • Testicular torsion (twisting of the testicle)
  • Inguinal hernias
  • Psychological impact due to abnormal scrotal appearance

Early diagnosis and timely treatment — ideally before 1 year of age — provide the best outcomes.

Treatment:

Treatment for Undescended Testicles at Sarvodya Hospital

Dr. Rajesh Aggarwal provides state-of-the-art surgical options to reposition the testicle into the scrotum and ensure normal development.

Orchiopexy (Surgical Correction)

  • Most effective treatment
  • Performed under general anesthesia
  • Testicle is carefully moved to the scrotum and fixed in place
  • Recommended between 6 and 18 months of age

Laparoscopy for Non-Palpable Testes

  • Minimally invasive keyhole surgery
  • Helps locate intra-abdominal testicles
  • May involve single or staged procedures


Undescended Testicles in Adults

In rare cases, adults may present with untreated cryptorchidism. Management options include:

  • Surgical removal (orchidectomy) – If testicle is non-functional or at cancer risk
  • Fertility evaluation
  • Testicular prosthesis insertion – For cosmetic and psychological benefits

Dr. Rajesh Aggarwal offers confidential, expert evaluation for adult patients who may have missed childhood treatment.

Why Choose Dr. Rajesh Aggarwal at Sarvodya Hospital?
  • Over 15 years of urology experience
  • Expertise in pediatric and adult urologic surgeries
  • Advanced laparoscopic and microsurgical techniques
  • Compassionate and child-friendly approach
  • Convenient access to modern facilities and diagnostics.
Frequently Asked Questions (FAQs)

Ideally between 6–12 months of age. Early treatment reduces long-term complications.

In some newborns, the testicle descends on its own within the first few months. After 6 months, spontaneous descent is unlikely.

Yes. Orchiopexy is a common, safe, and effective procedure with a high success rate.

Early treatment greatly improves the chances of normal fertility later in life, especially if only one testicle is affected.

 Yes. Untreated undescended testicles have a higher risk of developing testicular cancer, which is why early surgical correction is essential.