Undescended Testis Treatment in Mumbai

Many parents hope the problem will correct itself with time, and in some newborns it does. However, if the testicle remains undescended beyond the first few months of life, waiting longer may affect fertility, normal testicular development, and increase the risk of future complications. The good news is that orchiopexy, a safe and effective surgical procedure, can successfully position the testicle in the scrotum and support healthy growth.

An undescended testis (cryptorchidism) is one of the most common congenital conditions affecting boys. It occurs in approximately 3–5% of full-term newborns and up to 30% of premature male infants. In many babies, the testicle descends naturally within the first 3 to 6 months after birth. However, if it remains undescended beyond 6 months of age, spontaneous descent becomes unlikely, and surgery is usually recommended before 12–18 months to achieve the best long-term outcomes.

If you are looking for expert Undescended Testis Treatment in Mumbai, Dr. Bhavesh Doshi, Consultant Pediatric Surgeon at Dhanvantari Hospital, provides comprehensive evaluation and advanced Orchiopexy in Mumbai for infants, children, and adolescents. Early treatment helps protect future fertility, supports normal testicular development, and reduces the risk of complications.

Why Doesn't the Testicle Reach the Scrotum?

Before birth, a baby's testicles develop inside the abdomen and gradually move through the groin into the scrotum during the later months of pregnancy. This descent is influenced by hormones, normal fetal growth, and anatomical structures that guide the testicle into its final position.

Sometimes this journey is incomplete, leaving the testicle within the abdomen, the groin, or just above the scrotum.

Factors associated with an undescended testis include:

• Premature birth
• Low birth weight
• Family history
• Hormonal abnormalities
• Certain genetic conditions
• Developmental abnormalities before birth

Parents should know that this condition is present from birth and is not caused by diaper use, bathing habits, or handling the baby.

When Should Parents Be Concerned?

An undescended testis is usually identified during a newborn examination or routine pediatric check-up. In some children, parents notice that one side of the scrotum appears smaller or empty.

Medical evaluation is recommended if:

• One or both testicles cannot be felt in the scrotum.
• The scrotum appears underdeveloped on one side.
• The testicle disappears after previously being felt.
• A swelling develops in the groin.
• The child experiences pain or discomfort.

Regular examinations during infancy are important because early diagnosis leads to better outcomes.

Why Early Treatment Makes a Difference

Many parents ask whether they should simply wait.

While some undescended testicles descend naturally during the first few months after birth, this becomes unlikely after 6 months of age.

Delaying treatment may increase the risk of:

• Reduced fertility later in life
• Impaired testicular growth
• Testicular torsion
• Inguinal hernia
• Higher lifetime risk of testicular cancer
• Psychological concerns as the child grows older

Current international guidelines recommend orchiopexy between 6 and 18 months of age, with many specialists preferring surgery before the first birthday whenever feasible.

How Is an Undescended Testis Diagnosed?

Diagnosis usually begins with a careful physical examination by an experienced pediatric surgeon.

The evaluation may include:

• Clinical examination
• Assessment of both testicles
• Examination for an associated inguinal hernia
• Ultrasound in selected cases (although it is not always necessary)
• Laparoscopy if the testicle cannot be felt during examination

A thorough evaluation helps determine the exact location of the testicle and the most appropriate surgical approach.

What Is Orchiopexy?

Orchiopexy is the standard surgical treatment for an undescended testis.

During the procedure, the pediatric surgeon carefully frees the testicle from surrounding tissues and moves it into the scrotum, where it is secured in its normal position.

Depending on the location of the testicle, surgery may be performed through:

• A small groin incision
• A scrotal incision
• Laparoscopic (keyhole) surgery for intra-abdominal testicles

The operation is performed under general anaesthesia and usually takes about 45–90 minutes. Most children return home on the same day or the following day.

Recovery After Orchiopexy

Recovery after orchiopexy is usually smooth.

Most children:

• Resume feeding within a few hours
• Return home the same day
• Experience only mild discomfort
• Resume normal daily activities within a few days
• Attend follow-up visits to monitor healing and testicular growth

Parents receive detailed guidance regarding wound care, bathing, activity restrictions, and follow-up appointments.

Why Choose Dr. Bhavesh Doshi for Undescended Testis Treatment in Mumbai?

Dr. Bhavesh Doshi is an experienced Pediatric Surgeon with expertise in neonatal surgery, pediatric urology, congenital anomalies, minimally invasive surgery, and orchiopexy for undescended testes.

At Dhanvantari Hospital, children benefit from comprehensive evaluation, advanced pediatric anaesthesia, modern surgical facilities, and compassionate family-centred care. Every treatment plan is tailored to the child's age, anatomy, and long-term health, with the goal of preserving fertility, supporting normal development, and minimizing complications.