Undescended testes

 

About 4% of boys are born with an undescended testes. However by the age of 1 year only 0.8% still has this problem.

 

Complications

Undescended testes do not form sperms satisfactorily unless they are in the scrotum. There is also some increase in malignant potential later in life.

 

Surgery

The recommended age for surgery is 18 months. The surgery takes 30-45 minutes and children usually return home the same day.

 

What are retractile testes?

A lot of young boys have a retractile testis, where the testis sometimes gets pulled up because of muscular contraction. It is vital not to label these as undescended testes or to subject them to unnecessary surgery.

 

Submitted by Mr D Misra, Consultant Paediatric General Surgeon & Urologist

((see editorial published by Mr Misra et al, Urology 1997, 49: 662-5.)