A clinical study of undescended testes


  • Nawaz A. Shariff Department of General Surgery, Sri Devaraj Urs Academy of Higher Education and Research, Tamaka, Kolar, Karnataka, India
  • Ashraf M. S. Ahmad Department of General Surgery, Yenepoya Medial College, Derelekatte, Mangalore, Karnataka, India




UDT, Orchiopexy, USG


Background: The aim of the present study was to study the clinical presentation of undescended testis (UDT) as regards to age, position, side and study the management on UDT.

Methods: Total 41 patients, 50 UDT cases were studied prospectively. Patients below the age of 15 years with history of absent testes in the scrotum were included in the study and patients with retractile testes were excluded. Patients were subjected for ultrasonography (USG) scrotum. Palpable UDT and those were located on USG were subjected for open or laparoscopic assisted orchiopexy or 2 stage Stephen-Flower orchidopexy or orchidectomy.

Results: 41.4% patients were between age group of 1 to 5 yrs. 43.9% patients were having right sided UDT. 76% testes were palpable only. 21.9% were having bilateral UDT. 48% testes were present in inguinal canal. In 80% patient’s orchiopexy was done. One patient (2.4%) had postoperative wound infection.

Conclusions: In our study the maximum number of cases were recorded between 1 to 5 years of age. Right sided UDT were common presentation. Maximum UDT were palpable. We also concluded that USG remains the specific non-invasive modality of diagnosis and localization. Almost half of them were present in the inguinal canal. Orchidopexy is the most common technique for placement of UDT in the scrotum. There were low complications and high success rate in treating UDT. We concluded that there is need of coordinated campaign between surgeons, pediatricians, general practitioners and community workers for timely intervention of UDT and advice for early approach for treatment.

Author Biography

Nawaz A. Shariff, Department of General Surgery, Sri Devaraj Urs Academy of Higher Education and Research, Tamaka, Kolar, Karnataka, India

Assistant Professor

Department of Genenal Surgery

Sri Devaraj Urs Medical College


Agrawal MK, Ramteke HB, Wagh DD. Study and management of undescended testes. IJBAR. 2013;04(11):530.

Jadhav S, Kumar P. Role of ultrasonography and orchidopexy in undescended testis in semi urban setting of a developing country. Internet J Urol. 2013;11(1):1-6.

Kokorowski PJ, Routh JC, Graham DA, Nelson CP. Variations in timing of surgery among boys who underwent orchidopexy for cryptorchidism. Pediatrics. 2010;126(3):e576-82.

Shiryazdi SM, Modir A, Benrazavi S, Moosavi N, Kermani-Alghoraishi M, Ghahramani R. Causes of delay in proper treatment of patients with undescended testis. Iran J Reprod Med. 2011;9(1):37-40.

Neel KF. Orchidopexy for undescended testis among Saudi children: is it conducted at the optimal age?. Curr Pediatr Res. 2010;14(1):39-41.

Sinha CK, Vinay S, Kulkarni R, Nour S. Delayed diagnosis for undescended testes. Indian Pediatr. 2008;45(6):503-4.

Vijayaraghavan SB. Sonographic localization of nonpalpable testis: Tracking the cord technique. Indian J Radiol Imag. 2011;21(2):134-41.

Bjerklund Johansen TE, Larmo A. Ultrasound in the evaluation of retractile and truly undescended testes. Scand J Urol Nephrol. 1988;22(4):245-50.

Docimo SG. The results of surgical therapy for cryptorchidism: a literature review and analysis. J Urol. 1995;154(3):1148-52.






Original Research Articles