Brief Answer:
Left
undescended testis with left inguinal hernia
Detailed Answer:
Dear Mr XXXXXXX
You friend has left undescended testis with left inguinal hernia. He has been born with both the conditions ( Congenital). When in womb the testis is the abdomen and descends down at 28 weeks of
pregnancy. The passage through which it descends remains patent in some and is known as processus vaginalis. The abdominal contents come out through this passage and are known as hernia. Hernia usually accompanies the undescended testis. Hernia is not responsible for the undescended testis. Infact, the converse is true.
He should undergo surgery for his hernia as well as undescended testis and bring the testis down to the
scrotum. Hernia is not be operated only when it pains; he should undergo surgery before it becomes too big or lands up in the middle of night with some complication.
Surgery should be opted and testis brought to a place where it can be easily examined and felt. The incidence of
testicular cancer is slightly higher in undescended testis and hence it should be at a position where it can be regularly examined.Both the surgeries are done at the same time. The hospital stay is usually 2 days and he shall need to be off work for week or so. Pain is there but not so severe that it limits normal activities. It is very safe surgery and has no major complications.
The undescended testis does not contribute any sperms to the
semen analysis because all the germ cells get damaged. He should get semen analysis to see how well his other testis is functioning and that shall decide his
fertility potential.
The undescended testis is producing
testosterone and is thus contributing to his having normal erections and libido.
Take care
Sincerely
Rajiv Goel