Undescended Testicles (Cryptorchidism)

Undescended testicles, also known as cryptorchidism, is a condition in which one or both of a newborn boy’s testicles have not moved into the scrotum before birth. At birth, approximately 3% of full-term and 30% of premature male infants are born with at least one testicle undescended. Although it usually resolves naturally on its own within the first year of life, some might have to be treated medically or undergo a surgical procedure to correct it. If you are looking for treatment for undescended testicles in Dubai, consulting with a paediatric surgeon is highly recommended.

Undescended testicles in newborns are a condition that occurs when the testicles do not descend from the abdomen to the scrotum before birth. This usually happens during the last few weeks of pregnancy. In most cases, only one testicle is usually affected, although both of them can be undescended in rare cases.

Some newborns may have retractile testicles, which temporarily move up into the groin due to cold or stimulation but are otherwise normally descended. This isn’t a concern unless the testicle cannot be located over time, even when warm.

The condition often doesn’t cause any pain or visible symptoms. The only clear sign is that one or both testicles are not felt in the scrotum. However, complications may arise if the condition is left untreated:

• Abdominal or groin pain (especially if torsion occurs)
• Increased risk of testicular cancer later in life
• Reduced fertility potential due to higher abdominal temperatures

While the exact causes are not always known, several factors may increase the risk of cryptorchidism:

• Premature birth
• Low birth weight
• Genetic conditions or hormone imbalances

In some rare cases, the testicle may be absent, underdeveloped, or unable to descend due to anatomical issues

Before Surgery:

• A preadmission check-up is performed to ensure that your child is in good condition to go through the procedure.
• Before the surgery, it is usually standard to fast for 6 hours.

After Surgery:

• Mild swelling or bruising in the groin is normal.
• The majority of cases can be managed by paracetamol or ibuprofen for pain management.
• Keep the surgery site dry for 3-4 days.
• Follow-up visits are essential to monitor the healing of wounds and the position of the testicles.

When treated early, children with undescended testicles generally have good outcomes. Fertility is typically unaffected unless the condition is left untreated for several years. Monitoring through puberty and routine testicular exams is important for long-term health.