Post-Hernia Surgery: Addressing Testicular Displacement Concerns - Surgery

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Testicular displacement after hernia surgery?


Hello, I would like to ask a question! I just underwent surgery for an inguinal hernia in my right lower abdomen.
Five days later, I noticed that my right testicle has moved up into my abdominal area and cannot descend.
The doctor said I have cryptorchidism, but before the surgery, my testicle was in a normal position.
What can be done to remedy this situation? What treatment options are available? Could the inability of the testicle to descend be caused by the hernia surgery?

Liang Xiansheng, 40~49 year old female. Ask Date: 2021/04/09

Dr. Chen Jiaming reply Surgery


Since you just had hernia surgery, it is recommended that you discuss this situation with your original surgeon and explore any possible solutions.
As for whether the surgery caused this issue, only you are aware of your condition prior to the operation.

Reply Date: 2021/04/09

More Info


After undergoing a right inguinal hernia repair, it is understandable to have concerns about changes in testicular position, especially if you have noticed that your right testicle seems to have moved into your abdominal cavity. This situation can be alarming, and it is essential to address it with accurate information and appropriate medical guidance.

Firstly, it is crucial to understand that the testicles are typically located in the scrotum, and any significant change in their position can indicate a medical issue. In your case, the observation that your right testicle has moved upward into the abdominal cavity post-surgery raises concerns about potential complications. While it is possible for surgical manipulation during hernia repair to affect the surrounding structures, including the spermatic cord and testicles, it is essential to differentiate between normal postoperative changes and complications that may require intervention.

The term "cryptorchidism" or "hidden testicle" refers to a condition where one or both testicles fail to descend into the scrotum. If your doctor has diagnosed you with this condition post-surgery, it is important to understand that this may not have been present before the surgery. Surgical procedures in the inguinal region can sometimes lead to changes in the anatomy or blood supply to the testicles, which may result in such displacement.

To address your concerns, here are some potential steps and considerations:
1. Follow-Up Consultation: It is imperative to schedule a follow-up appointment with your surgeon or a urologist. They can perform a physical examination and possibly imaging studies (such as an ultrasound) to assess the position of the testicle and determine if there are any underlying issues that need to be addressed.

2. Surgical Intervention: If the testicle remains undescended and is causing discomfort or poses a risk of complications (such as testicular atrophy or torsion), surgical intervention may be necessary. This could involve a procedure to reposition the testicle into the scrotum, known as orchidopexy.

3. Monitoring: In some cases, if the testicle is not causing any immediate issues, your doctor may recommend a period of observation. This would involve regular check-ups to monitor the situation and ensure that no further complications arise.

4. Understanding Risks: It is essential to discuss with your healthcare provider the potential risks associated with your current condition and any surgical options. Understanding these risks can help you make informed decisions about your treatment.

5. Postoperative Care: Ensure that you are following all postoperative care instructions provided by your surgeon. This includes managing pain, avoiding heavy lifting, and monitoring for any signs of complications, such as swelling, redness, or increased pain in the surgical area.

In summary, the displacement of your testicle following hernia surgery is a concerning symptom that warrants further evaluation. It is crucial to communicate openly with your healthcare provider about your symptoms and concerns. They can provide you with the best course of action based on a thorough assessment of your condition. Remember, early intervention can often lead to better outcomes, so do not hesitate to seek medical advice promptly.

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