Hi

So this 23 old brother has a single testicle in the scrotum with an "undefended testis" situated in the groin region.


We have two options:-
Orchidopexy - Surgery to move an undescended testicle into the scrotum
Orchidectomy - Surgery to remove the testicle
Both are considered a safe and effective procedure that have few risks, which include wound complications, bleeding, and pain


Orchiopexy is usually performed in babies and boys before their puberty but may also be done on older boys and, rarely, on teens and adult men who have undescended testicles. Untreated undescended testicles are usually removed in adult men and teens who have gone through puberty because of the increased risk of testicular cancer (20-40x risk).

Depending on the location of the testicle, one or two small incisions are made in the scrotum, the groin, or the abdomen to allow the surgeon to reach the testicle and move it to the scrotum or to remove it if it was decided. For a teen or adult who has an undescended testicle, surgery is generally recommended after puberty and up to about age 32. It makes it easier to check the testicle for cancer. The risk of testicular cancer gets less and less after age 34. So if you are an adult and you are thinking about treatment for your undescended testicle, talk with your doctor about the pros and cons of surgery.



Best Regards,
Dr Renny LC Yien
Specialist in General Surgery