Patient's question:
The child is now one and a half years old, and the right testicle has not descended yet. The plan is to have surgery next year, but I still want to wait until the child is two years old. Is there a chance that it will descend on its own?Doctor's answer:
1. Open surgery for testicular ascent fixation is available for palpable undescended testes. The procedure typically involves a transinguinal approach with a in the inguinal region, freeing the spermatic cord, and excising the patent processus vaginalis or hydrocele. The testis is then placed into the scrotum without tension.2. Laparoscopic surgery is indicated for all non-palpable testes, confirmation of intersex conditions, biopsies, or high inguinal testicular resection. Contraindications: acute infection, coagulation disorders, prior abdominal surgery history, suspected peritoneal adhesions.