Does Surgery for Abdominal Testicle Affect the Healthy One?

Will surgery on one testicle in the abdomen affect the other normal testicle?

I am currently 24 years old, and one of my testicles is still located in my abdomen.
I am planning to go to the hospital for an examination.
Will I need surgery? I have read online that the risk of cancer is high, and I am a bit worried about the results of the examination.
What if it is cancer? My other testicle is normal, and my sexual function and ejaculation are also normal.
What is the likelihood of being able to conceive? If surgery is necessary, will it affect the normal testicle? Thank you for your response.

Niming, 20~29 year old female. Ask Date: 2020/09/23

Dr. Cai Zhuorong reply Urology

In most cases, surgery does not affect the contralateral testis; however, the actual situation should be discussed with the surgeon.

Reply Date: 2020/09/23

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 essential to understand that an undescended testicle can carry a higher risk of complications, including infertility and testicular cancer. The risk of developing testicular cancer is significantly higher in individuals with a history of cryptorchidism, particularly if the testicle has not been surgically corrected. The exact mechanism behind this increased risk is not fully understood, but it is believed that the abnormal position of the testicle may lead to changes in temperature and hormonal environment, which could contribute to malignant transformation.

In your case, since you have one testicle that is still located in the abdomen, it is prudent to undergo a thorough evaluation by a healthcare professional. This evaluation may include imaging studies, such as an ultrasound, to assess the position and condition of the abdominal testicle. If the testicle is not descended and is causing concern, surgical intervention, typically referred to as orchidopexy, may be recommended. This procedure involves moving the testicle into the scrotum and securing it in place.

Regarding your concerns about the healthy testicle, it is important to note that surgical procedures on the abdominal testicle, when performed by an experienced surgeon, should not adversely affect the healthy testicle. The surgical approach is designed to minimize any potential impact on the surrounding structures, including the other testicle. However, as with any surgical procedure, there are inherent risks, such as infection, bleeding, and potential damage to nearby tissues, but these risks are generally low when the surgery is performed correctly.

As for your fertility concerns, having one healthy testicle is typically sufficient for normal testosterone production and sperm production. Many men with one healthy testicle can father children without any issues. Your normal sexual function and ejaculation are positive indicators of your reproductive health. However, if you have concerns about fertility, it may be beneficial to discuss sperm analysis with your healthcare provider, especially if you are considering starting a family in the future.

In summary, while the presence of an undescended testicle does carry certain risks, appropriate surgical intervention can mitigate these risks and should not negatively impact the healthy testicle. It is crucial to follow up with your healthcare provider to discuss your specific situation, undergo necessary evaluations, and determine the best course of action. Regular monitoring and timely intervention can help ensure optimal outcomes for your reproductive health.

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