Our Summary

The most common issue related to the urinary and reproductive system in boys is an undescended testis. Traditionally, this has been corrected using an approach that involves surgery in the groin area. However, this research paper suggests that a method involving surgery in the scrotal area might be a better alternative for certain cases. This is based on numerous studies over the past few decades showing that the scrotal approach results in fewer complications, shorter operation times, better cosmetic results, and equally successful treatment outcomes.

FAQs

  1. What is the most common issue related to the urinary and reproductive system in boys?
  2. What are the benefits of the scrotal approach to undescended testicle surgery over the traditional groin area surgery?
  3. Does the scrotal approach to undescended testicle surgery have equally successful treatment outcomes as the traditional approach?

Doctor’s Tip

After undergoing undescended testicle surgery, it’s important to follow your doctor’s post-operative care instructions closely. This may include taking prescribed pain medication, keeping the surgical area clean and dry, and avoiding strenuous activities for a certain period of time. It’s also important to attend any follow-up appointments to ensure proper healing and monitor for any complications. If you experience persistent pain, swelling, or other concerning symptoms, don’t hesitate to contact your doctor for further evaluation.

Suitable For

Patients who are typically recommended undescended testicle surgery include:

  • Infants and young boys with one or both testicles that have not descended into the scrotum
  • Boys with a high undescended testicle that is not easily palpable or located in the groin area
  • Boys with a history of failed attempts at manual manipulation or hormone therapy to bring the testicle down
  • Boys with a diagnosis of an undescended testicle that is at risk for complications such as infertility or testicular cancer in the future

Ultimately, the decision to undergo undescended testicle surgery should be made in consultation with a pediatric urologist or surgeon who can assess the individual patient’s specific situation and recommend the most appropriate treatment approach.

Timeline

Before undescended testicle surgery:

  • Patient is diagnosed with an undescended testicle during a routine physical examination or through symptoms such as pain or discomfort in the groin area.
  • Patient and their family consult with a urologist to discuss treatment options and decide on the best course of action.
  • Pre-operative tests and evaluations are conducted to ensure the patient is healthy enough for surgery.
  • Patient and family are educated about the procedure, potential risks and complications, and post-operative care instructions.

After undescended testicle surgery:

  • Patient undergoes the surgery, which may involve either a groin or scrotal approach, depending on the specific case.
  • Patient is monitored in the recovery room and may be discharged home the same day or kept overnight for observation.
  • Patient may experience some pain, swelling, and discomfort in the surgical area, which can be managed with pain medication and rest.
  • Follow-up appointments are scheduled to monitor healing, check for any complications, and discuss long-term outcomes.
  • Over time, the patient’s testicle descends into the scrotum and functions normally, improving fertility and reducing the risk of complications such as testicular cancer.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with undescended testicle surgery?
  2. Are there any alternative treatment options to surgery for an undescended testicle?
  3. How long is the recovery time after surgery and what can I expect during the recovery process?
  4. Will the surgery impact my fertility or sexual function in the future?
  5. What is the success rate of undescended testicle surgery, particularly with the scrotal approach?
  6. How many of these procedures have you performed and what is your experience with this type of surgery?
  7. Will there be any long-term effects or implications from having an undescended testicle if surgery is not performed?
  8. Are there any specific precautions or steps I should take before and after the surgery to ensure optimal outcomes?
  9. How soon after the surgery can I resume normal activities, such as exercise or sports?
  10. Are there any specific follow-up appointments or monitoring that will be necessary after the surgery?

Reference

Authors: Younsi NF, Zahn K, Stein R. Journal: Aktuelle Urol. 2020 Apr;51(2):186-190. doi: 10.1055/a-0970-1896. Epub 2019 Sep 19. PMID: 31537026