Undescended testis
Undescended Testis
Undescended testis is a condition where the testis is not in its normal position in the scrotum but somewhere up.
The testis (testicle) has two major functions – production of male hormones and sperms. Before the child is born the testicle initially develops in the abdomen and then it migrates down through abdominal wall and groin to take its normal position below in the scrotum. Undescended testicles are one of the most common anomalies. They may be present in 3-4% of boys at birth, and there is an even higher incidence in premature infants. 50%-60% of these undescended testicles will come to normal location within the first 3-4 months of life.
When a testicle is not present in the normal scrotal location, several possibilities exist:
➾ Testis may be absent by birth (congenital absence).
➾ The testicle may have withered away (atrophied) before birth due to torsion (twist) or blockage of the testicular blood vessels.
➾ The testicle may have descended but incompletely and may lie within the inguinal canal (just above the scrotum).
➾ The testicle may have not descended properly and thus remains high up within the abdominal cavity.
➾ It is important to distinguish undescended testis from retractile testis. In children with retractile testis, the testis can be brought down into the scrotum during examination. These ‘retractile’ testicles will be seen to descend when the child is in the bathtub or in squatting position. Retractile testicles are due to hyperactive cremaster muscles that temporarily pull the testicle into the groin. However, retractile testicles generally do not harm the testis and require no treatment. Rarely, the testis may become ascending testis and require a late orchiopexy and as such a yearly follow-up is recommended.
Rationale for treatment of undescended testis
In humans, the scrotal location of the testicles keeps them cooler than the average core body temperature. This lower temperature is important for the proper functioning of the testicle as well as for production of normal sperm. Studies have shown that there is an increased risk of infertility in men with a history of undescended testicles. Relocating the testicle into the scrotum may decrease the risk of infertility problems, particularly if done at an early age.
There are other benefits of a scrotal testis. There is a cosmetic advantage. The scrotal testicle may be less exposed to injury than a testicle outside the scrotum. Finally, and perhaps as important as any other reason, a testicle that is higher up is not accessible for a regular physical examination. Undescended testicles are at an increased risk for testicular cancer. Testicular cancer may not occur later than the third decade. Testicular carcinoma is fully curable if detected in early stages and the best way to do this is monthly self-examination, which can be comfortably done if the testicles are within the scrotum.
Treatment of undescended testis
We recommend surgery for undescended testicle before one year of age, preferably by 6-9 months of age. There is evidence that early damage to the germ cells (sperm producing cells) begins at this age. Earlier options like multiple injections of a hormone, HCG, several times per week over several weeks can produce descent in some children. However, the success rates are quite low (10%) and unpredictable.
The most effective treatment is surgery, which can be performed as a day care procedure. When a testis can be felt by the surgeon, the so called palpable undescended testis, the surgery is done via a small incision in the groin area. Most Undescended testes have an associated hernia that is also concurrently repaired. After hernia is closed, the testis is brought down to the scrotum and fixed in a space created in the scrotum (orchiopexy).
When a testis cannot be felt (non-palpable) on physical examination, its location must be determined. Ultrasound, CT scan or MRI scans are not 100% reliable in this regard. The gold standard is to do a Diagnostic Laparoscopy for these children. In laparoscopy, a telescope is placed through a small incision in the ‘belly button’ to look in the abdomen and find the testis. Then the further course is decided upon the findings on Laparoscopy
1. Testis may be absent by birth – This is confirmed by seeing blind ending testicular blood vessels – This mostly happens as the testis may have twisted on itself before birth and lost its blood supply (antenatal torsion). Nothing further is done and parents are explained.
2. Testis may be small and abnormal – In such cases, the testis are removed laparoscopically (orchiectomy). This mostly results from torsion or twisting of the testis on its blood supply prior to birth that leads to the small testis.
3. Testis is present within the belly – In such cases, we assess if it is possible to bring the testis down in one stage or two stages. In those patients found to have testes very high in the abdomen, testis is brought down in two stages to preserve the blood supply.
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Satyam Salvi 2nd
2 weeks ago
I would like to express my sincere appreciation to Dr. Manish Dubey and the entire hospital staff for the excellent care I received during my kidney stone treatment. Dr. Dubey was very friendly, supportive, and caring throughout my treatment, which made me feel comfortable and confident.
I am also very thankful to the entire hospital team for their helpful and professional service. The hospital was clean and well maintained, which made my overall experience very positive.
Thank you, Dr. Manish Dubey and the entire staff, for your care, kindness, and support. I truly appreciate the treatment and would gladly recommend your services to others.
Satyam Salvi
Read moreI am also very thankful to the entire hospital team for their helpful and professional service. The hospital was clean and well maintained, which made my overall experience very positive.
Thank you, Dr. Manish Dubey and the entire staff, for your care, kindness, and support. I truly appreciate the treatment and would gladly recommend your services to others.
Satyam Salvi
MAHESH BAPU SONAWANE
2 weeks ago
Excellent Doctor – Highly Recommended!
A heartfelt thank you to Dr. Bharat Sir for performing my right proximal ulna fracture plating surgery. His expertise, professionalism, and caring nature made my treatment experience very reassuring. He explained the treatment process clearly and provided excellent guidance and support throughout.
I truly appreciate his dedication, humble behaviour, and patient-friendly approach. I am very satisfied with my treatment and grateful for his care.
Thank you, Dr. Bharat Sir, for your excellent treatment and support! Highly recommended for his expertise and compassionate care. 🙏⭐⭐⭐⭐⭐
Read moreA heartfelt thank you to Dr. Bharat Sir for performing my right proximal ulna fracture plating surgery. His expertise, professionalism, and caring nature made my treatment experience very reassuring. He explained the treatment process clearly and provided excellent guidance and support throughout.
I truly appreciate his dedication, humble behaviour, and patient-friendly approach. I am very satisfied with my treatment and grateful for his care.
Thank you, Dr. Bharat Sir, for your excellent treatment and support! Highly recommended for his expertise and compassionate care. 🙏⭐⭐⭐⭐⭐
Swati Shinde
3 weeks ago
I had a very good experience at Mitr Hospital. The overall workflow was smooth and well-organized. The staff were helpful, supportive, and cooperative throughout the process. Special appreciation to the front desk team and the ward assistants for their polite behaviour, prompt assistance, and excellent coordination. They guided me properly and made the entire experience comfortable and hassle-free. Thank you to the entire team for your kind support and good service. Highly recommended!👍🏻😇
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Pushpa Kothari
4 weeks ago
Dr G Bharat Kumar done my mother’s robotic total knee replacement surgery. Fore surgery Dr Bharat guided so well. We are very much confident for surgery after counselling by doctor. Post surgery care is as excellent. All staff from top to bottom are good and helpful. Special thank you to Dr. Bharat.
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Asiino Tetso
1 month ago
My son's hypospadias surgery in Delhi was not successful and we opted for MITR Hospital Navi Mumbai and it was so good for us. Doctors Ashwitha Shenoy and AK Singal are very professional and friendly. In Delhi they don't allow my boy to move for 7 days before dressing. However, here they discharged us on the second day of the surgery. Doctors explained to us everything about the surgery which was never done in the previous hospital. Nurses and other staffs are friendly too and greet us with a smile on their faces which is another bonus too. My son didn't find any difficulty and we as parents are so much at peace too when the doctors are readily available everytime we try to contact them. We are from Nagaland and we came home so satisfied and happy.
We are specially grateful to Dr Ashwitha Shenoy for her motherly love and care for our little hero. We will remain grateful to her. My son had so much traumatic experiences with doctors and nurses in his previous treatments that he doesn't like any of them but here he says Dr Shenoy is "our friend"😍May God grant enough wisdom and good health to our doctors and nurses that they continue to serve us with love and care. God bless their families.
Read moreWe are specially grateful to Dr Ashwitha Shenoy for her motherly love and care for our little hero. We will remain grateful to her. My son had so much traumatic experiences with doctors and nurses in his previous treatments that he doesn't like any of them but here he says Dr Shenoy is "our friend"😍May God grant enough wisdom and good health to our doctors and nurses that they continue to serve us with love and care. God bless their families.
NISHIT JOSHI
1 month ago
I had consulted Dr. Manish Dubey for kidney stone and prostate-related issues, and my experience was excellent. Dr. Dubey performed the procedure using a minimally invasive approach, making the entire process virtually painless and comfortable.
What impressed me most was his patience in explaining every aspect of the condition, treatment options, and expected outcomes. He ensures that patients are well-informed and confident throughout their treatment journey.
I would also like to appreciate MITR Hospital for its professionalism, ethical medical practices, and patient-centric approach. The hospital offers high-quality healthcare services at very competitive pricing, making it truly value for money.
I highly recommend Dr. Manish Dubey and MITR Hospital to anyone seeking expert and compassionate urological care.
Nishit Joshi
Read moreWhat impressed me most was his patience in explaining every aspect of the condition, treatment options, and expected outcomes. He ensures that patients are well-informed and confident throughout their treatment journey.
I would also like to appreciate MITR Hospital for its professionalism, ethical medical practices, and patient-centric approach. The hospital offers high-quality healthcare services at very competitive pricing, making it truly value for money.
I highly recommend Dr. Manish Dubey and MITR Hospital to anyone seeking expert and compassionate urological care.
Nishit Joshi
Pritirekha P Nandeshwar
1 month ago
A heartfelt thank you to Dr. Bharat Kumar
We had heard a lot about Dr. Bharat Kumar, but after experiencing his treatment personally, we truly understood why he is so highly respected.
Last year, my mother met with an accident and suffered a serious knee injury. Her initial surgery was done in Guwahati, but unfortunately, her condition became worse afterwards. We were very worried and then decided to consult Dr. Bharat Kumar at MITR Hospital.
His advice and treatment were a true blessing for my mother. He explained everything patiently, gave us confidence, and treated her with great care and expertise. We have had multiple experiences with him, and every time, we have been extremely satisfied.
Thank you, Dr. Bharat Kumar, for your dedication, guidance, and compassionate care. You are truly an asset to MITR Hospital. 🙏
Read moreWe had heard a lot about Dr. Bharat Kumar, but after experiencing his treatment personally, we truly understood why he is so highly respected.
Last year, my mother met with an accident and suffered a serious knee injury. Her initial surgery was done in Guwahati, but unfortunately, her condition became worse afterwards. We were very worried and then decided to consult Dr. Bharat Kumar at MITR Hospital.
His advice and treatment were a true blessing for my mother. He explained everything patiently, gave us confidence, and treated her with great care and expertise. We have had multiple experiences with him, and every time, we have been extremely satisfied.
Thank you, Dr. Bharat Kumar, for your dedication, guidance, and compassionate care. You are truly an asset to MITR Hospital. 🙏
Kranti Tandel
3 months ago
From the moment I walked into the hospital until the day I was discharged, I felt genuinely cared for.
A heartfelt thank you to Dr. Manish Dubey for making such a stressful time feel so much easier. His calm nature, patience, and the way he explains everything instantly put me at ease. They say half the healing begins when you trust your doctor, and that’s exactly how I felt with him. The procedure was far less painful than I had imagined, and I truly believe that’s because of his skill and the confidence he gives his patients.
The nursing staff was absolutely wonderful
kind, compassionate, attentive, and always there whenever I needed help. Every member of the hospital and hospitality staff treated me with warmth, respect, and genuine care, which made all the difference during my recovery.
It’s rare to find a team that is not only excellent at what they do but also so humane and compassionate. Thank you to Dr. Manish Dubey and the entire team for making my journey so comfortable. I will always be grateful and would wholeheartedly recommend this hospital to anyone looking for exceptional medical care.
Read moreA heartfelt thank you to Dr. Manish Dubey for making such a stressful time feel so much easier. His calm nature, patience, and the way he explains everything instantly put me at ease. They say half the healing begins when you trust your doctor, and that’s exactly how I felt with him. The procedure was far less painful than I had imagined, and I truly believe that’s because of his skill and the confidence he gives his patients.
The nursing staff was absolutely wonderful
kind, compassionate, attentive, and always there whenever I needed help. Every member of the hospital and hospitality staff treated me with warmth, respect, and genuine care, which made all the difference during my recovery.
It’s rare to find a team that is not only excellent at what they do but also so humane and compassionate. Thank you to Dr. Manish Dubey and the entire team for making my journey so comfortable. I will always be grateful and would wholeheartedly recommend this hospital to anyone looking for exceptional medical care.
Shilpa Nair
4 months ago
I had an excellent experience and am very grateful for the care and support I received. The entire staff was professional, friendly, and attentive, making me feel comfortable throughout the process.
A special thank you to Dr. Vijaykumar Yadav for his expertise, patience, and compassionate approach. He took the time to explain everything clearly and ensured that all my concerns were addressed. His dedication to patient care is truly commendable.
I highly recommend this place to anyone seeking quality treatment and outstanding service. Thank you once again, Dr. Vijaykumar Yadav, for your exceptional care!
Read moreA special thank you to Dr. Vijaykumar Yadav for his expertise, patience, and compassionate approach. He took the time to explain everything clearly and ensured that all my concerns were addressed. His dedication to patient care is truly commendable.
I highly recommend this place to anyone seeking quality treatment and outstanding service. Thank you once again, Dr. Vijaykumar Yadav, for your exceptional care!
Mahendra Patil
4 months ago
My 3 years 11 month year old daughter was diagnosed with 10 mm kidney stone Dr.A.k.Singhal,Dr.Manish Dubey,and Dr.Ashwita Shenoy performed the surgery to remove the stone on May 30th with immense success. I am deeply grateful for the exceptional care and professionalism demonstrated by this entire team.
From the very beginning,the doctors explained every detail of the treatment process with great patience and clarity, this provided us as parents with immense relief and put our minds completely at ease. The surgery proceeded very smoothly and thanks to the doctors expertise and dedication my daughter is now completely healthy and in excellent health
I would also like to extend my special thanks Dr.A.k. Singhal , Dr. Ashwita Shenoy for providing us with constant support and guidance throughout this entire process.they were always available to answer our questions and ensured that our daughter received the very best treatment . Thank you mitra hospital. Thank you so very much for taking such excellent care of my daughter and for making this difficult time for our family SO much more bearable.
और
मेरी बेटी को left inguinal harniya भी hua था उसकी भी सर्जरी करणी जरुरी थी और DJ स्टेट removal भी करना था june 20 th को मेरे बेटी का Dr. Ashwita Shenoy मॅडम ने left inguinal harniya की surgery बहुत आछी तरह की और DJ स्टेट भी निकाली मेरे बेटी का सब अच्छा हुवा thank you mitr hospital All team thanks Dr. Ashwita Shenoy मॅडम मेरे परिवार के तरफ से आपको और आपके पुरे टीम को धन्यवाद.
excellent treatment my daughter
Thank you mitr hospital
Read moreFrom the very beginning,the doctors explained every detail of the treatment process with great patience and clarity, this provided us as parents with immense relief and put our minds completely at ease. The surgery proceeded very smoothly and thanks to the doctors expertise and dedication my daughter is now completely healthy and in excellent health
I would also like to extend my special thanks Dr.A.k. Singhal , Dr. Ashwita Shenoy for providing us with constant support and guidance throughout this entire process.they were always available to answer our questions and ensured that our daughter received the very best treatment . Thank you mitra hospital. Thank you so very much for taking such excellent care of my daughter and for making this difficult time for our family SO much more bearable.
और
मेरी बेटी को left inguinal harniya भी hua था उसकी भी सर्जरी करणी जरुरी थी और DJ स्टेट removal भी करना था june 20 th को मेरे बेटी का Dr. Ashwita Shenoy मॅडम ने left inguinal harniya की surgery बहुत आछी तरह की और DJ स्टेट भी निकाली मेरे बेटी का सब अच्छा हुवा thank you mitr hospital All team thanks Dr. Ashwita Shenoy मॅडम मेरे परिवार के तरफ से आपको और आपके पुरे टीम को धन्यवाद.
excellent treatment my daughter
Thank you mitr hospital
Purva Shingare
5 months ago
Had kidney stone surgery done by Dr Manish Dubey. All staff was cooperative. Doctor Dubey made me so much relaxed that I was not at all worried about the procedure. Other doctors in the OT were also very sweet. The staff is very nice, hospital is clean ,no smell of medicines, housekeeping services are very good. Hospital food is also very nice,tasty and healthy. Insurance procedure is also very easy. The surgery procedure went so smoothly. I would surely recommend Mitr Hospital and special thanks to Dr Dubey.
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Nikita Ghodke
7 months ago
I had an amazing experience at the hospital, which offers excellent facilities and truly stands out in terms of care and support. I was under the treatment of Dr. Vijaykumar Yadav, who is exceptional in his field. His kindness, compassion, and dedication to his work made a significant difference throughout my journey.
He is highly detail-oriented and experienced, ensuring I felt confident and well-informed at every step. I underwent two surgeries, and he consistently reassured me and focused on my recovery and well-being. What truly sets him apart is his availability, he was always there whenever needed, even late at night.
Overall, the hospital is outstanding and undoubtedly one of the best in Navi Mumbai. I’m truly grateful for the care I received.
Read moreHe is highly detail-oriented and experienced, ensuring I felt confident and well-informed at every step. I underwent two surgeries, and he consistently reassured me and focused on my recovery and well-being. What truly sets him apart is his availability, he was always there whenever needed, even late at night.
Overall, the hospital is outstanding and undoubtedly one of the best in Navi Mumbai. I’m truly grateful for the care I received.
Dimple Choudhary
1 year ago
Very polite staff N great service ☺️
Ketan Bhagat
1 year ago
Excellent,
We had a nice experience with Mitr hospital. Dr.A.K.Singal is such a talented Child urologist and nice person. Staff are good. Thank you so much Dr.A.K.Singal sir and Dr.Ashvitha Mam for treating our daughter so well and saving her life.. We w'l be gratful to you throughout our life..
Read moreWe had a nice experience with Mitr hospital. Dr.A.K.Singal is such a talented Child urologist and nice person. Staff are good. Thank you so much Dr.A.K.Singal sir and Dr.Ashvitha Mam for treating our daughter so well and saving her life.. We w'l be gratful to you throughout our life..
Pankaj Choudhary
1 year ago
Very experienced Doctor and cooperative staff. They give full time to patients for there Query and problems.
Blood test Camp organised for Woman's day was support and very helpful
Read moreBlood test Camp organised for Woman's day was support and very helpful
Sneha Omale
1 year ago
डॉ. अमित घरत इंडॉस्कॉपी खूप छान पध्दती ने केली . धन्यवाद डॉक्टर आणि त्यांची टीम . वेळोवेळी मदत केली बद्दल.
prathamesh palkar
1 year ago
“I am extremely grateful for the excellent service provided by Mr.Aditya Sir from the hospital TPA insurance team. He was incredibly professional, patient, and thorough in explaining my insurance coverage and guiding me through the entire process. His prompt assistance and dedication made everything smooth and hassle-free. I truly appreciate his kindness and efficiency in handling my queries. Thank you, Aditya Sir, for your outstanding support!”
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