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sir,
i am 45 year old. my ultrasound report says : Both the scrotal sac empty. Oval hypoechoic structure noted in the right inguinal canal near the root of scrotum suggestive of right testis. No evidence of any focal mass lesion noted. Herniation of bowl loops noted in the left inguinal canal with a hypoechoic oval structure suggestive of ? left testis.
I had visted 3 doctors and all of them given me seprate opionion:
first doctor says removal of testis.
second doctor says not to remove the testis.
third doctor says he will place the testis on the proper place.
suggest me thouroughly what i have to do.
i am 45 year old. my ultrasound report says : Both the scrotal sac empty. Oval hypoechoic structure noted in the right inguinal canal near the root of scrotum suggestive of right testis. No evidence of any focal mass lesion noted. Herniation of bowl loops noted in the left inguinal canal with a hypoechoic oval structure suggestive of ? left testis.
I had visted 3 doctors and all of them given me seprate opionion:
first doctor says removal of testis.
second doctor says not to remove the testis.
third doctor says he will place the testis on the proper place.
suggest me thouroughly what i have to do.
Mon, 2 Jun 2014
Hello and welcome to HCM,
The ultrasound report suggests:
The scrotal sacs are empty.
The two testis are not in their normal position.
The two testis are placed in the bilateral inguinal canals and there is associated inguinal hernia on left side.
It is quite strange that this condition is detected so late i.e. age of 45 years.
Absence of testis in scrotal sacs and presence at some other site is called cryptorchidism.
The testis when present in abdominal cavity have to be removed early in life because high temperature of the abdominal cavity can cause permanent damage to the testis.
The abdominal testis if not replaced early in life are removed surgically, because these testis have high chance of malignant transformation.
In your case the testis are in the inguinal canal.
The testis in inguinal canal also have high chance of malignant transformation.
Thus, their removal is advisable, since, the testis would have become sterile by now and have no role in secretion of sex hormones.
Replacing the testis in place will have no benefit since the testis are sterile and replacing them back will not reduce the risk of development of malignancy.
Thanks and take care
Dr Shailja P Wahal
The ultrasound report suggests:
The scrotal sacs are empty.
The two testis are not in their normal position.
The two testis are placed in the bilateral inguinal canals and there is associated inguinal hernia on left side.
It is quite strange that this condition is detected so late i.e. age of 45 years.
Absence of testis in scrotal sacs and presence at some other site is called cryptorchidism.
The testis when present in abdominal cavity have to be removed early in life because high temperature of the abdominal cavity can cause permanent damage to the testis.
The abdominal testis if not replaced early in life are removed surgically, because these testis have high chance of malignant transformation.
In your case the testis are in the inguinal canal.
The testis in inguinal canal also have high chance of malignant transformation.
Thus, their removal is advisable, since, the testis would have become sterile by now and have no role in secretion of sex hormones.
Replacing the testis in place will have no benefit since the testis are sterile and replacing them back will not reduce the risk of development of malignancy.
Thanks and take care
Dr Shailja P Wahal
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