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</div><div><span>Undescended testicle repair</span></div></div>
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</a><h1 class="with-also" itemprop="name">Undescended testicle repair</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p><a test="test" href="./000973.htm">Undescended testicle</a> repair is surgery to correct testicles that have not dropped down into the correct position in the scrotum.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Description</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>The testicles develop in the infant's abdomen as the baby grows in the womb. They drop down into the <a test="test" href="./002296.htm">scrotum</a> in the last months before birth.</p><p>In some cases, one or both testicles do not drop into the correct position. About one half of these cases will descend within the first year of life without treatment.</p><p>Undescended testicle repair surgery is recommended for males whose testicles do not descend on their own.</p><p>The surgery is done while the child is asleep (unconscious) and pain-free under general anesthesia. The surgeon makes a cut in the groin. This is where most undescended testes are located.</p><p>After finding the cord that holds the testis in the scrotum, the surgeon unties it from the tissue around it. This allows the cord to extend to its full length. A small cut is made in the scrotum, and a pouch is created. The testicle is pulled down into the scrotum and stitched into place. Stitches are used to close the surgical cuts.</p><p>In some cases, the procedure can be done laparoscopically. This involves smaller surgical cuts.</p><p>When the testicle is located very high, correction may require two stages. The separate surgeries are done several months apart. </p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Why the Procedure is Performed</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>This surgery is recommended for infants older than 1 year whose <a test="test" href="./002334.htm">testicles</a> have not descended into the scrotum (<a test="test" href="./000973.htm">cryptorchidism</a>).</p><p>An undescended testicle is different from a "retractile" testicle. In this condition, the testicle drops into the scrotum and then pulls back. Retractile testicles do not need surgery.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Risks</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>Risks of any anesthesia are:</p><ul><li>Reactions to medicines</li><li><a test="test" href="./003075.htm">Problems breathing</a></li></ul><p>Risks of any surgery are: </p><ul><li>Bleeding</li><li>Infection</li></ul><p>Risks of this surgery include:</p><ul><li>Shrinkage of the testicle or failure of the testicle to grow to normal size.</li><li>Inability to bring the testicle into the scrotum, resulting in the removal of the testicle.</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>After the Procedure</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>Undescended testicle repair is successful in most cases. A small percentage of men will have fertility problems. </p><p>Men who have had undescended testicles should do monthly self-exams for the rest of their lives to look for possible tumors. Men with undescended testes have higher rates of <a test="test" href="./001288.htm">testicular cancer</a> than those with normal testicle development, even if they have a fully descended testicle on the other side. There is also a higher risk for testicular cancer in the other testicle that descended normally. Bringing the testicles down will make it easier to monitor for tumor growth in the future.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Outlook (Prognosis)</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>The surgery may be done on an outpatient basis. Bed rest is recommended for the first 2 to 3 days. Avoid strenuous activity, including bicycling, for at least 1 month.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Orchidopexy; Inguinal orchidopexy; Orchiopexy; Repair of undescended testicle; Cryptorchidism repair</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/1113t.jpg" alt="Male reproductive anatomy" title="Male reproductive anatomy" class="side-img"/><a href="../imagepages/1113.htm">Male reproductive anatomy</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/9998t.jpg" alt="Before and after testicular repair" title="Before and after testicular repair" class="side-img"/><a href="../imagepages/9998.htm">Before and after testicular repair</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Barthold JS, Hagerty JA. Etiology, diagnosis, and management of the undescended testis. In: Partin AW, Domochowski RR, Kavoussi LR, Peters CA, eds. <em>Campbell-Walsh-Wein Urology.</em> 12th ed. Philadelphia, PA: Elsevier; 2021:chap 46.</p><p>Eftekharzadeh S, Weaver J, Srinivasan AK. Laparoscopic orchiopexy. In: Bishoff JT, Kavoussi LR, Kavoussi N, Bishoff T, eds. <em>Atlas of Laparoscopic and Robotic Urologic Surgery.</em> 4th ed. Philadelphia, PA: Elsevier; 2023:chap 39.</p><p>Elder JS. Disorders and anomalies of the scrotal contents. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. <em>Nelson Textbook of Pediatrics.</em> 21st ed. Philadelphia, PA: Elsevier; 2020:chap 560.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 1/1/2023</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<div id="section-version" class="section-body"><p>Updated by: Kelly L. Stratton, MD, FACS, Associate Professor, Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, OK. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.</p>
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</div></div><div name="Related MedlinePlus Health Topics" class="section-body" id="section-mtp"><ul class="side-nav"><li><a href="https://medlineplus.gov/testiculardisorders.html">Testicular Disorders</a></li>
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