Testicular Health: Risks of Undescended Testes in Boys

Q: Testicular Health: Risks of Undescended Testes in Boys

Hello, Xiao Li： "The right testicle has previously been noted to be undescended." If it is a retractile testicle, there is currently no known association with cancer, but regular monitoring and examinations are still necessary. <br>Chen Jian-sheng, Urology Department, Hsin Ying H

Testicular issues

Hello Dr.
Chen Jian-sheng: Below are the questions I previously asked! I would like to inquire whether my son, who had a right testicle that did not fully descend, is at a higher risk of developing testicular cancer compared to others? Thank you.

Mr.
Li: Hello! When my son was 7 months old, his right testicle was positioned higher in the right scrotum, while the left testicle was in the normal position in the left scrotum.
He has had several follow-up visits, and the situation has improved.
By the time he was 2 years and 3 months old, the right testicle was located in the middle of the scrotum.
The doctor assessed that surgery was not necessary at that time and suggested waiting a year to decide if surgery would be needed.
I would like to ask if my son has cryptorchidism? Will his condition lead to any diseases in the future?
Response from Dr.
Chen Jian-sheng, Urology Department: Hello, sir: If both testicles can be palpated, then it is not cryptorchidism.
The position of the testicles is related to the tension of the cremaster muscle and is not known to be specifically associated with any particular diseases.
New Taipei City Hospital, Urology Department, Dr.
Chen Jian-sheng.

Xiao Li, 0~9 year old female. Ask Date: 2016/07/07

Dr. Chen Jiansheng reply Urology

Hello, Xiao Li: "The right testicle has previously been noted to be undescended." If it is a retractile testicle, there is currently no known association with cancer, but regular monitoring and examinations are still necessary.
Chen Jian-sheng, Urology Department, Hsin Ying Hospital.

Reply Date: 2016/07/07

More Info

Undescended testes, or cryptorchidism, is a condition where one or both of the testes fail to descend into the scrotum before birth. This condition is relatively common in newborns, particularly in premature infants, and it can have implications for a boy's future health, particularly regarding fertility and the risk of testicular cancer.

In your case, it appears that your son had a history of an undescended right testis, which has since descended into a more normal position. This is a positive development, as many cases of undescended testes resolve on their own within the first year of life. However, it is important to monitor the situation closely, as there are potential long-term risks associated with a history of cryptorchidism.

One of the primary concerns with undescended testes is the increased risk of testicular cancer later in life. Studies have shown that men who had undescended testes are at a higher risk for developing testicular cancer compared to those with normal testicular descent. The risk is particularly pronounced if the condition is not corrected early in life. The exact mechanism behind this increased risk is not fully understood, but it is believed that the abnormal position of the testes may expose them to higher temperatures, which could affect the cells and lead to malignancy.

Additionally, boys with a history of undescended testes may also face fertility issues later in life. The testes are located in the scrotum, which provides a cooler environment necessary for optimal sperm production. If the testes remain undescended, they may be exposed to higher body temperatures, which can impair sperm production and lead to infertility.

In your son’s case, since the right testis has descended and is now palpable in the scrotum, the immediate risk of complications may be reduced. However, it is still advisable to maintain regular check-ups with a pediatric urologist or healthcare provider to monitor his testicular health as he grows. They may recommend routine examinations and possibly imaging studies to ensure that both testes are developing normally.

It is also worth noting that if there are any concerns about the position of the testes or any unusual symptoms (such as swelling, pain, or changes in size), these should be addressed promptly with a healthcare provider. Early intervention can be crucial in preventing potential complications.

In summary, while your son’s history of undescended testes does carry some increased risks for testicular cancer and fertility issues, the fact that the testis has descended is a positive sign. Continued monitoring and regular check-ups will be important in ensuring his long-term health. If you have any further concerns or questions, do not hesitate to reach out to a healthcare professional for personalized advice and guidance.

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