Testicular Issues: Concerns About Cryptorchidism and Pain

Q: Testicular Issues: Concerns About Cryptorchidism and Pain

Hello Amin： The main issue you are concerned about is the suspicion of cryptorchidism. <br>I am not sure if the small urology clinic you visited is truly staffed by a board-certified urologist. <br>If they have assured you that there is no issue with cryptorchidism and you still

Please feel free to ask your question?

Hello Doctor: From my memory, since childhood, it seems that I only have one testicle, which is similar to cryptorchidism.
Since I didn't feel anything unusual, I didn't think much about it until 2 or 3 years ago when my girlfriend also found it strange.
Since it was difficult to ask my family about any issues during my childhood, I went to a general urology clinic for a check-up.
The doctor said that this is normal.
Recently, I have read many reports stating that cryptorchidism can increase the risk of cancer, etc.
In the past, I sometimes felt some pain near the testicles, but it would go away quickly.
A couple of days ago, I suddenly felt bloating and pain in my lower abdomen and had a constant urge to urinate.
It took about 3 to 4 hours for it to feel better.
Could you please tell me what this issue might be? I would appreciate your response to help alleviate my concerns.
Thank you!

A-Ming, 20~29 year old female. Ask Date: 2004/01/26

Dr. Lin Hexing reply Urology

Hello Amin: The main issue you are concerned about is the suspicion of cryptorchidism.
I am not sure if the small urology clinic you visited is truly staffed by a board-certified urologist.
If they have assured you that there is no issue with cryptorchidism and you still have doubts, I recommend that you go to a larger hospital with a urology department for a thorough examination.
This will help alleviate any psychological uncertainty and the associated stress.

It is true that cryptorchidism can increase the risk of testicular cancer, but the first step is to confirm whether or not you have cryptorchidism to avoid unnecessary anxiety.
Occasional mild pain near the testicles is not necessarily a sign of illness.
Consider whether you have engaged in vigorous exercise, whether your underwear or outer pants are too tight, or if there has been any minor trauma that could cause such symptoms.
If testicular cancer were present, typically the affected testicle would already be enlarged and not undetectable.
I strongly advise you to seek a detailed examination at a medium to large hospital's urology department to address your concerns.

Reply Date: 2004/01/26

More Info

Cryptorchidism, or undescended testicles, is a condition where one or both testicles fail to move down into the scrotum before birth. This condition is relatively common, affecting about 3% of full-term infants and up to 30% of premature infants. While it may not cause immediate symptoms, it can lead to several long-term health concerns, including infertility and an increased risk of testicular cancer.

Your concern about having only one visible testicle and the potential implications of cryptorchidism is valid. The fact that you have not experienced significant issues until now does not negate the potential risks associated with this condition. It is important to understand that even if you have not felt any discomfort or abnormalities in the past, the anatomical positioning of your testicles can still pose health risks.

The pain you are experiencing in your lower abdomen and the sensation of needing to urinate frequently could be indicative of several issues. One possibility is that the pain is related to the testicles themselves, especially if there is a history of discomfort in that area. Conditions such as testicular torsion, epididymitis, or even a hernia could cause similar symptoms. Testicular torsion is a medical emergency that occurs when the spermatic cord becomes twisted, cutting off blood supply to the testicle. This condition requires immediate medical attention to prevent permanent damage.

Another possibility is that the pain may be related to urinary issues, such as a urinary tract infection (UTI) or bladder irritation. UTIs can cause abdominal pain, frequent urination, and a feeling of urgency. Given your symptoms, it would be prudent to consult a healthcare professional for a thorough evaluation. They may recommend imaging studies, such as an ultrasound, to assess the position of your testicles and check for any abnormalities.

Regarding the increased risk of cancer associated with cryptorchidism, studies have shown that men with a history of undescended testicles have a higher likelihood of developing testicular cancer later in life. The risk is particularly pronounced if the condition is not corrected through surgical intervention (orchidopexy) during childhood. It is generally recommended that boys with undescended testicles undergo surgery before the age of 1 to minimize these risks.

In summary, while you may have been told that your condition is normal, it is essential to take your symptoms seriously, especially with the recent onset of abdominal pain and urinary urgency. I recommend seeking a urologist's opinion for a comprehensive evaluation. They can provide you with the necessary information regarding your condition, potential treatment options, and any necessary follow-up care. Early intervention can significantly reduce the risk of complications associated with cryptorchidism and ensure your overall reproductive health.

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