My 5-year-old son was born with one testicle. The doctor said that by the age of 2 the testicle would come down by itself. During the last visit, the doctor still did not feel the testicle and referred me for a specialist examination. Will surgery be necessary, what is it? Could it be that he was born with only one nucleolus? Will it be sterile?
The failure of the testicle requires ultrasound diagnostics, especially if it is imperceptible by tactile examination. Ultrasound examination helps to determine whether it is located in the inguinal canal or in the abdominal cavity. In any case, such a position of the testicle requires surgical treatment. If the ultrasound examination does not reveal the testicle in the canal or in the abdominal cavity, it can be looked for in laparoscopy. If the testicle is not found on laparoscopy, it may be assumed that it did not develop on that side. Both testicles are not needed for fertility, it may be one with normal sperm.
Remember that our expert's answer is informative and will not replace a visit to the doctor.
Lidia Skobejko-WłodarskaSpecialist in pediatric urology and surgery. She obtained the title of European specialist in pediatric urology - fellow of the European Academy for Pediatric Urology (FEAPU). For many years he has been dealing with the treatment of bladder and urethral dysfunction, especially neurogenic vesico-urethral dysfunction (neurogenic bladder) in children, adolescents and young adults, using for this purpose not only pharmacological and conservative but also surgical methods. She was the first in Poland to start large-scale urodynamic tests, allowing to determine the function of the bladder in children. He is the author of many works on bladder dysfunction and urinary incontinence.
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