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Child having undecended testes. What are treatment options?

Hi doctor, my son is 8 yrs. I have just found out that he has undecended testes. The scan result says; both testes are present in the inguinal canals and are undecended. The scrotum itself is empty. Both testes appear normal in size, shape and exhotexture. Vascular flow was seen within the left testes but none was detected in the right. There us no sonograghic evidence of associated inguinal hernia of fat/bowel. Please tell me what this all means and what surgical procedure my son is most likely to undertake & in this circumstances how many percent is he likely to have to return back to normal. Is it likely he will have testes cancer & not be able to have children in the future? I m very very concerned!
Asked On : Sun, 28 Apr 2013
Answers:  1 Views:  13
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General & Family Physician 's  Response
The name of the surgery is orichopexy. In it the surgeon will move the boy's testicles to his scrotum. The biggest difficulty in this surgery is maintaining a blood supply to the testes. The fact that your sons left testes has a good vascular flow is a good sign. But the fact that the right one has none, will lead to certain problems. A possible solution is that the surgeon cuts off certain blood vessels and reconnects them in an effort to provide a bloody supply to the testes.
Even so, I should tell you, the process isnt always successful.
As for your son's fertility, studies have shown that boys with bilateral undescended testicles have a lower fertility rate.
I hope this helped, wish your son all the best.
Answered: Sun, 28 Apr 2013
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