Undescended Testicles
Undescended Testicle Surgery in Malaysia
An undescended testicle is a condition where one or both testicles have not moved into the scrotum before birth. It is relatively common in newborn boys, particularly those born prematurely. In some children, the testicle moves into the scrotum naturally during the first few months of life. If it remains undescended, specialist assessment is important to determine the appropriate treatment.
What Is an Undescended Testicle?
An undescended testicle, also called undescended testis, occurs when a testicle does not reach its usual position in the scrotum. It may remain in the abdomen, groin or another position along its normal path of descent.
The condition may affect one or both testicles. It can sometimes be associated with other conditions, so a paediatric urologist should assess the child.
When Is Undescended Testicle Surgery Needed?
If the testicle does not descend naturally, undescended testicle surgery may be recommended. The procedure is known as orchidopexy and involves moving the testicle into the scrotum and securing it in the appropriate position.
Treatment is generally planned during childhood because an untreated undescended testicle may be associated with problems affecting fertility and a higher risk of testicular cancer later in life.
The timing and surgical approach depend on the child’s age, the position of the testicle and other clinical findings.
Undescended Testicle Treatment
Undescended testicle treatment depends on whether the testicle is located in the groin, abdomen or another position. A physical examination is usually an important part of the assessment.
For a testicle that cannot be felt during examination, further evaluation may be required. In selected cases, minimally invasive or laparoscopic surgery may be used to locate and treat an abdominal testicle.
Not every child requires the same procedure. Treatment is tailored to the child’s individual anatomy and overall health.
Orchidopexy for Children
Orchidopexy is the surgical procedure used to place an undescended testicle into the scrotum. The exact technique depends on where the testicle is located and whether one or both testicles are affected.
Parents will be given information about the proposed procedure, possible risks and follow-up before treatment.
Specialist Care for Undescended Testis in Children
Dr Nada provides paediatric surgical and urological assessment for undescended testis in children in Malaysia. Care is based on clinical assessment, appropriate treatment planning and clear communication with parents. Early specialist assessment can help determine whether the testicle is likely to descend naturally or whether treatment should be considered.
Frequently Asked Questions
Yes. Some testicles descend naturally during the early months of life. If the testicle remains undescended, medical assessment is recommended.
Not immediately. The timing and need for surgery depend on the child's age, testicle position and clinical assessment.
Orchidopexy is an operation that moves an undescended testicle into the scrotum and secures it there.
In selected children, laparoscopic surgery may be used when a testicle is located inside the abdomen. The appropriate approach depends on the individual case.
An undescended testicle identified after birth should be discussed with a paediatric or urology specialist. Early assessment helps determine the appropriate management plan.
Intussusception can recur in some children. If symptoms return after treatment, the child should receive medical assessment.