Surgical Procedure for Treatment of Undescended Testes in Pakistan
The testes are a pair of glands present in a man’s genitalia that secrete sperm and male hormones. The specific location for both Testis is the scrotum. If you have one or both Testis that haven’t descended into the scrotum, you have undescended testes. However, with a proper surgical procedure, in the treatment of undescended Testes can be repaired successfully and moved to their correct position.
Undescended Testes in Infants
Infants who are born prematurely or who weigh less than average are at a higher risk. An increased chance of undescended Testis is seen in premature infants because the testicular migration hasn’t had enough time to occur throughout development. In addition, babies with a very low birth weight are more likely to have undescended Testes. For male babies weighing less than 2.3 kilograms, about 17 percent have undescended Testis. The disease affects almost all male infants born weighing less than 907 g.
If a baby is born with an undescended testicle condition, it will descend to the scrotum during the first three months in around half of the cases. At the age of three months, if the testicle has not descended, a laparoscopic pediatric surgeon should be consulted. This affects roughly 5% of all male infants.
The Process of Development of Testis
In a male fetus, the Testis develop in the abdominal cavity. The Testis of a developing newborn move from the abdomen to the scrotum via narrow channels (inguinal canals) between the ages of 25 and 35 weeks. Most men with undescended testes have only one afflicted testicle. About one in ten men have neither testicle in their scrotum (bilateral undescended testes).
The Testis of a boy with a retractable scrotum will retreat into the body. As long as the Testes are able to remain in the scrotum for the vast majority of the time prior to the commencement of puberty, treatment is not required. Empty scrotum, monarchism, and cryptorchidism are all names for undescended Testes.
Acquired Undescended Testis
Although typically located in the scrotum, a boy’s Testis may occasionally go back within his body. This is because the spermatic cords, which join each testicle to the body, may not develop normally, which is thought to be the underlying cause of this condition. Instead, the Testes are slowly dragged from the scrotum into the groin by the relatively short spermatic cords. As a result, affected individuals may suffer from undescended Testes, often known as acquired cryptorchidism. Between the ages of one and ten, it can affect boys.
Factors of Undescended Testes
The failure of the Testis to drop is a mystery in the majority of children. This could be due to abnormal testes. Sometimes the issue is mechanical in nature. The testes fall and land near the scrotum instead of inside it. Ectopic Testes are a medical term for these abnormalities. Or perhaps the baby’s hormones cannot stimulate the Testis in the usual way. There is no evidence that the mother’s actions or diet during pregnancy are to blame for the issue.
In rare cases, the Testis will fall to the ground but fail to reattach themselves to the scrotum. And when the boy develops, it’s immediately obvious that his Testes aren’t linked. Once a boy reaches puberty, doctors diagnose him with consideration for treatment of undescended testis about once every five cases. This is why, as part of every boy’s annual checkup, it is essential to verify where his Testes are.
Signs That Show Testes Haven’t Dropped Yet
If a boy’s Testes haven’t dropped yet, his scrotum will be hollow on one or both sides. However, it causes no discomfort and does not affect the ability to urinate.
Complications Caused by The Undescended Testis
There is a wide variety of medical issues associated with undescended Testis.
- Low self-esteem and confidence because of the stigma associated with malformed Testis
- An inguinal hernia is possible to develop in a boy whose testis have not yet descended (abnormal bulging in the groin area)
- For fertility reasons, Testes are kept in the scrotum, where the temperature is a few degrees lower than the rest of the body, to facilitate sperm generation, making an undescended testicle more vulnerable to trauma and infertility.
- Sperm cannot be produced by Testis that have not dropped into the scrotum by the time they are a young adult.
- Testosterone (androgen) deficiency – having two undescended testes increases the risk of developing testosterone deficiency.
- The risk of testicular cancer is five to ten times higher for males with undescended Testis than for the general male population, which is true even after improper surgical treatment procedures. The normal age of a man diagnosed with testicular cancer is 40.
Diagnosis
If the testicle has not moved into the scrotum by the age of three months, a diagnosis of an undescended testicle is made. In cases of undescended Testis, a pediatric surgeon will need to do a physical checkup. It is possible to detect the absence of a testicle by palpating the lower abdominal area.
When your child enters kindergarten, he should undergo a checkup with his pediatrician to detect any signs of acquired undescended Testis. Although typically seen in younger children, this disorder can appear in kids as old as 10. Also, see a pediatric surgeon if you or your child can’t feel or see his Testes in the scrotum after getting out of a warm bath and you suspect they may have migrated back into the groin.
Treatment of Undescended Testis
Undescended Testis are best treated with a laparoscopic surgical procedure. Surgery for undescended testis should be performed on a child between six months and one year. If the condition is treated when a kid reaches the age of two, studies show that the future quality of sperm produced by the affected testicle is diminished. However, the surgical procedure might be performed at a later age, if necessary, for instance, in the case of acquiring this treatment. Males with surgical correction achieved are at a 10% greater risk of experiencing lower fertility.
Surgical Procedure
Orchidopexy is surgery for the treatment of undescended testes in which they are moved within the scrotum. A typical undescended testis treatment entails the following:
- An aesthetic that can be used on the whole body is administered.
- The testicle is removed through an inguinal incision (lower abdomen).
- The inguinal canal is opened, and the testicle is extracted.
- The testicular connective tissue, known as the spermatic cord, is ‘unkinked’ and extended to its entire length. It could be necessary to remove some tissue that is blocking the way.
- To perform this procedure, a scrotal incision must be made.
- After the scrotum has been prepared, the testicle is inserted into it, and the incision is sewn shut.
- Each wound has been stitched back together.
ALSA – Spot for The Best Undescended Testis Treatment in Pakistan
At ALSA, have the top pediatric surgeon like Dr Mohsin, offers a groundbreaking surgical procedure for fixing testicular issues in infants, kids, and teens. However, the laparoscopic surgical team, from anesthesiologists to healthcare professionals, has specialized training in child care. We work together to make things as comfortable and safe as possible for your baby with undescended testis. Furthermore, ALSA offers fair treatment of undescended testes surgery costs in Pakistan to make the treatment accessible for every person.