Do you know undescended testicles cause severe problems for the baby

A baby goes through many changes in the latter few months of pregnancy. Like, the eyes wide open, the bones fully develop, and the weight increase accelerates. It's also when the testicles travel from the lower abdomen to the scrotum, the pouch of skin beneath the penis in boys. But sometimes, it does not happen timely and leads to a condition known as undescended testicles. However, it can cause serious problems later if left untreated.

However, during undescended testicles, one or both testicles may not always come into position. It may happen to any newborn male, but it is more prevalent in premature babies. The testicle usually falls into the scrotum on its own by the time the child is 6 months old. If it does not, the youngster will certainly require surgery.

How common are the undescended testicles that occur in babies?

• Three full-term male newborns out of every hundred are born with undescended testicles.
• Up to 30 male newborns out of every 100 born prematurely (too soon) have undescended testicles.
• Up to 5 males out of every 100 with undescended testicles do not have testicles on their own to the proper position.

Symptoms of an undescended testicle

The majority of newborns and toddlers with this disease exhibit no symptoms. The scrotum is the only indication. During this condition, the testicle in the scrotum cannot be seen or felt. When both are not descended, the scrotum appears flat and smaller than it should be.

However, some boys are born with a retractile testicle. When they are chilly or terrified, they may travel up into their groin but will return on their own. It's not usually an issue. The distinction is that an undescended testicle remains stationary and does not move back and forth.

How do undescended testicles cause serious problems?

• A testicle not falling into the correct position in the scrotum may be injured.
• It might lead to infertility or other medical issues later in life.
• Boys with undescended testicles (one or both, whether treated or not) may be at significant risk of developing testicular cancer.
• Men and adolescent boys who have had this illness should check their testicles monthly for lumps or other indicators of tumours or issues.
• Some kids are born with undescended testicles for unknown reasons. Hormones may interfere with the development of the testicles in rare situations.
• Premature newborns who haven't had a full nine months to mature are more prone to the disorder. There is no proof that anything a pregnant mother does cause her child to have undescended testicles.
• When a boy reaches puberty, his testicles begin to produce sperm. The testicles must be two to three degrees lower than the body's core temperature to produce healthy sperm. That is why the testicles are located beneath the body, inside the scrotum. The testicles may not operate correctly or create healthy sperm if they do not fall into the scrotum. Consequently, this can cause severe problems of infertility later in life.
• Baby boys born with undescended testicles are likewise more likely to develop testicular cancer than adults. However, it might be more challenging to identify and cure when the testicles are in the belly rather than the scrotum.

Why is it necessary to treat undescended testicles?

Treatment of undescended testicles is necessary for a variety of reasons, including:

Being higher in the body indicates that the undescended testicle is warmer than usual (testicles need to be below average body temperature to produce sperm). The greater temperature may impair the testicle's development and future capacity to produce sperm.

• A tumour is more likely to occur in an undescended testicle than in a regularly descended testicle.
• The undescended testicle is more vulnerable to damage or testicular torsion.
• A kid may be concerned if his scrotum is lopsided or empty.
• Inguinal hernias can occur in boys who have undescended testicles.

Undescended testicles treatment in Pakistan 

Drugs or hormone therapy are ineffective. Therefore, penile torsion surgery in a baby is the right option to treat this condition. The type of surgery essential for your child depends on the position of the undescended testicle. The best hypospadias surgeon will be able to inform you what sort of operation he needs. After the age of six months, surgery is preferable. However, the scheduling considers the child's ability to tolerate anesthesia and surgery so that it may not cause serious problems.

Orchiopexy can be performed as either open or laparoscopic surgery. The surgeon will open surgery if your child's undescended testicle is in the groin. However, if the surgeon is unclear about where the testicle is or cannot locate it, laparoscopic surgery might be performed to determine if the testicle is in the abdomen. If the testicle is discovered in the stomach, the surgeon may do open or laparoscopic surgery to relocate it to the scrotum.

Open Surgery

To perform the procedure, the surgeon creates an incision in your child's belly, groin, and scrotum.

Laparoscopic Surgery

For the procedure, the surgeon uses an instrument known as a laparoscope. A laparoscope is a narrow tube with a special camera that the surgeon inserts via small slits in your child's tummy. Moreover, the best hypospadias surgeon also uses some other small equipment for chordee surgery. The laparoscope lets the surgeon look into your child's body and do the procedure without making large incisions.

The penile torsion surgery to correct undescended testicles cause problems is around 98 % successful. The testicles will usually develop appropriately in the scrotum. Later in life, they generate healthy sperm.

Let's Get Life to Your Child with ALSA

Because your health is our priority, ALSA Pakistan provides hypospadias surgery costs in Pakistan and penile surgery for baby boys. Dr Muhammad Mohsin at ALSA has the best skills for cryptorchidism treatment and can help your child live a healthy and happy life. We prefer to treat undescended testicles between the ages of 6 and 12 months so that they may not cause serious problems. However, to avoid complications later in life, your baby must get surgery for undescended testicles before he reaches the age of two.