Cryptorchidism: Concerns About Missing Testicle and Fertility - Urology

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Cryptorchidism, or undescended testicle, is a condition where one or both testicles fail to move down into the scrotum before birth. If you have noticed that you only have one testicle, it is important to consult a healthcare professional for a thorough evaluation. The absence of one testicle could indicate that the other testicle is undescended, or it may have been removed due to a previous medical condition or injury.


Concerns About Missing Testicle
1. Diagnosis of Cryptorchidism: If you suspect that you have only one testicle, it is crucial to determine whether the missing testicle is undescended or absent. A healthcare provider will perform a physical examination and may recommend imaging studies, such as an ultrasound, to locate the undescended testicle if it is still present in the abdomen.

2. Risk of Testicular Cancer: It is true that individuals with a history of cryptorchidism have a higher risk of developing testicular cancer, particularly if the undescended testicle is not surgically corrected. The risk is significantly increased if the testicle remains undescended into adulthood. Regular self-examinations and monitoring by a healthcare provider are essential for early detection of any abnormalities.

3. Fertility Concerns: Having only one testicle does not necessarily mean you will have fertility issues. Many men with one testicle can father children, as long as the remaining testicle is healthy and functioning properly. However, if the missing testicle was undescended and has not been addressed, it could potentially impact fertility. A semen analysis can be performed to assess sperm count and quality.

4. Surgical Intervention: If the missing testicle is found to be undescended, surgical intervention (orchidopexy) is typically recommended, especially if the individual is still in childhood or adolescence. This procedure involves moving the testicle into the scrotum and securing it in place. If the testicle is absent and cannot be located, the healthcare provider will discuss the best course of action, which may include monitoring or surgical removal if there are concerns about cancer.


Next Steps
- Consult a Specialist: You should see a urologist, a specialist in male reproductive health, for a comprehensive evaluation. They can provide you with a diagnosis and discuss potential treatment options based on your specific situation.

- Regular Monitoring: If you have cryptorchidism or a history of undescended testicles, regular check-ups with your healthcare provider are essential. They will monitor your condition and check for any signs of complications, including testicular cancer.

- Self-Examination: Learn how to perform a testicular self-exam. This can help you become familiar with your anatomy and detect any changes or abnormalities early on.


Conclusion
In summary, if you have only one testicle, it is essential to seek medical advice to determine the underlying cause and assess any potential risks. Early intervention can significantly reduce the risk of complications, including testicular cancer, and help address any fertility concerns. Remember, many men with one testicle lead healthy, fulfilling lives, including fathering children. Don't hesitate to reach out to a healthcare professional for guidance and support.