Does Surgery for Abdominal Testicle Affect the Healthy One? - Urology

More Info

---

When it comes to the surgical management of an abdominal testicle, also known as an undescended testicle or cryptorchidism, there are several important considerations regarding both the affected and the healthy testicle.
Firstly, it is crucial to understand that an undescended testicle, if not treated, can lead to several complications, including an increased risk of testicular cancer. Studies have shown that men with a history of undescended testicles have a higher incidence of testicular cancer compared to those with normally descended testicles. The risk is particularly pronounced if the testicle remains undescended into adulthood. Therefore, surgical intervention, typically referred to as orchidopexy, is often recommended to reposition the testicle into the scrotum, where it can develop normally and be monitored more easily.

Regarding your concern about the health of the normal testicle during surgery, it is generally considered safe. Surgeons are trained to minimize any potential risks to the healthy testicle during the procedure. However, as with any surgery, there are inherent risks, including infection, bleeding, and potential damage to surrounding structures. It is essential to discuss these risks with your surgeon, who can provide you with a detailed understanding of what to expect during and after the procedure.

As for fertility, having one healthy testicle is typically sufficient for normal reproductive function. Many men with one healthy testicle can father children without any issues. The remaining testicle usually compensates for the absence of the other, producing adequate testosterone and sperm. Your normal sexual function and ejaculation are positive indicators of your reproductive health.

If surgery is deemed necessary, it is important to follow your healthcare provider's recommendations. They will likely perform a thorough examination, possibly including imaging studies, to assess the condition of the undescended testicle and determine the best course of action. If cancer is a concern, your doctor may recommend additional tests, such as blood tests for tumor markers or imaging studies, to rule out malignancy.

In summary, while there is an increased risk of testicular cancer associated with undescended testicles, surgical intervention can significantly mitigate this risk. The surgery itself should not adversely affect the healthy testicle, and having one functional testicle is generally sufficient for fertility. It is crucial to maintain open communication with your healthcare provider throughout this process to address any concerns and ensure the best possible outcome for your reproductive health.