Undescended testicle is the most common genital abnormality in boys that occurs when one or both testicles fail to move into the scrotum before birth. Although the undescended testicles may move down on their own by the sixth month of life but if this doesn't happen then it is important to get treatment as it could affect fertility or lead to other medical problems in the future.
Symptoms of Undescended Testis
It is an asymptomatic condition that is characterized by the absence of the testicle in the scrotum (empty scrotum)
Diagnosis of Undescended Testis
Diagnosis is done by a physical examination that confirms absence of one or both of the testicles in the scrotum. In some cases an ultrasound or CT scan may be done.
Laparoscopic Orchiopexy or Orchidopexy for Undescended Testis
Laparoscopic Orchiopexy or Orchidopexy is performed under general anaesthesia. Depending on the location of the testicle, one or two small incisions are made in the scrotum, the groin, or the abdomen. A laparoscope is inserted through one of the incision. A laparoscope is a telescope lookalike with a light and camera on the end. It allows the surgeon to clearly view inside of the abdomen on the monitor outside. After careful examination of the testicles, a pouch is created in the scrotum and the testicles are pulled down into it. Permanent stitches will be applied to hold the testicle in place. After completing the procedure, the incisions are closed with sutures or staples, or covered with glue-like bandage.
Advantages of Laparoscopic Orchiopexy or Orchidopexy for Undescended Testis
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Faster recovery
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Only few hours or overnight hospitalization
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Earlier ambulation
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Sooner return to work
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Very less pain during and after the procedure
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Smaller incisions without any cut on abdominal muscles
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Negligible risks and complications
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Less chances of wound infection
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High success rate
