Post-Surgery Concerns for Pediatric Hernia Patients

Condition inquiry!?

Hello, I have a four-year-old child who had surgery for a hernia at Kaohsiung Veterans General Hospital.
It has been over three months since the operation, but the testicle is still retracted and has not descended.
The doctors at the hospital said this is normal.
Is this really normal?

cys1126, 0~9 year old female. Ask Date: 2001/07/11

Dr. Du Shixi reply Urology

Hernias can cause a bulge in the groin area, which may affect the appearance of the genitals.
However, hernia surgery is solely intended to treat the hernia and does not result in any changes to the genitals.
It is possible that factors such as obesity (thicker pubic fat) or phimosis may be contributing to the appearance.
If you are concerned, it would be advisable to consult a urologist.

Reply Date: 2001/07/11

More Info

When it comes to pediatric hernia surgery, particularly in young children, there are several factors to consider regarding recovery and the appearance of the genitalia post-surgery. In your case, it seems that your four-year-old child underwent surgery for a hernia, and you are concerned about the appearance of the testicles, which you describe as "not coming out" and remaining retracted.

Firstly, it is essential to understand that after hernia surgery, especially in cases involving the inguinal canal (the passage through which the testicles descend), it is not uncommon for the testicles to appear retracted or to have a temporary change in their position. This can happen due to swelling, inflammation, or even the surgical manipulation of the tissues surrounding the area. In many cases, the testicles will gradually return to their normal position as the swelling subsides and the tissues heal.

The timeline for recovery can vary significantly among children. While some may see improvement within a few weeks, others might take a bit longer. Since you mentioned that it has been over three months since the surgery, it is understandable to be concerned. However, if the surgeon has indicated that this is a normal part of the healing process, it is likely that they have assessed the situation thoroughly and believe that the testicles will eventually descend.

It is also important to monitor for any signs of complications. If your child experiences pain, redness, or swelling in the area, or if there are any changes in urination or other concerning symptoms, it would be prudent to follow up with the surgeon or a pediatric urologist. They can perform a physical examination and possibly imaging studies if necessary to ensure that everything is healing correctly.

In terms of normalcy, the appearance of the testicles can vary widely among children, and some may have a more pronounced retraction than others. Factors such as temperature, anxiety, and even the child's position can influence how the testicles appear.
If you are still feeling uncertain or if your child's situation does not improve, seeking a second opinion from another pediatric surgeon or urologist could provide additional reassurance. They can offer a fresh perspective and may conduct a more thorough examination to ensure that there are no underlying issues.

In summary, while it is not uncommon for the testicles to appear retracted following hernia surgery, especially in young children, it is essential to keep an eye on the situation. If there are any concerning symptoms or if you feel that the situation is not improving, do not hesitate to seek further medical advice. Your child's health and comfort are the top priorities, and ensuring that they receive the appropriate care and follow-up is crucial for their recovery.

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