Undescended Testes (cryptorchidism) Treatment in Delhi
Specialised evaluation and surgical treatment for undescended testes (cryptorchidism) in children, including palpable, non-palpable and complex cases, under Dr. Gautam Banga at The Center for Urethra & Penile Surgery, SCI International Hospital, New Delhi.
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Overview
What Are Undescended Testes?
Undescended testes, also called cryptorchidism, is a condition in which one or both testicles do not move down into their normal position in the scrotum before birth.
The testicle may remain in the groin, abdomen or along its normal path of descent. In some babies, the testicle may come down naturally during the first few months of life. However, if it does not descend by around 6 months of age, specialist evaluation is recommended.
Important: Undescended testes should not be ignored. If left untreated, they may increase the risk of fertility problems, testicular damage and future testicular cancer risk. When needed, orchidopexy is the standard treatment to bring the testicle into the scrotum and secure it in the correct position.
Causes
What Causes Undescended Testes?
Developmental Factors
The testicle may not complete its normal descent into the scrotum before birth.
Premature Birth
Babies born early have a higher risk because testicular descent may be incomplete.
Low Birth Weight
Low birth weight is associated with a greater chance of undescended testes.
Hormonal Factors
Hormonal changes during fetal development may interfere with normal testicular descent.
Genetic Factors
Family history or certain genetic conditions may increase the risk.
Cause Often Unknown
In many cases, no single exact cause can be identified.
Symptoms
Signs & Symptoms to Watch For
- One testicle not visible or felt in the scrotum
- Testicle felt in the groin instead of the scrotum
- Both testicles absent from the scrotum
- Testicle that cannot be felt during examination
- Empty or underdeveloped side of the scrotum
- Incomplete bladder emptying
- Asymmetrical appearance of the scrotum
- Previously descended testicle no longer remaining
Diagnosis
How We Diagnose Undescended Testes
Diagnosis usually starts with a careful physical examination to determine whether the testicle can be felt and where it is located.
- Physical Examination – The groin and scrotum are examined to determine whether the testicle is palpable.
- Testicle Position Assessment – The doctor determines whether the testicle is undescended, retractile or located in another abnormal position.
- Non-Palpable Testis Evaluation – If the testicle cannot be felt, surgical exploration—often using laparoscopy—may be required to locate and assess it.
- Additional Evaluation – Children with bilateral non-palpable testes or associated genital abnormalities may require further hormonal or genetic assessment.
Treatment
Treatment Options at Urethra & Penile Surgery
Why Urethra & Penile Surgery
Why Choose Dr. Gautam Banga for Undescended Testes Treatment?
Detailed Urological Assessment
Careful evaluation of testicular position and anatomy before deciding the appropriate treatment.
Orchidopexy Treatment
Surgical management is available for one-sided or bilateral undescended testes based on individual findings.
Personalised Surgical Planning
The surgical approach is selected according to whether the testicle is palpable, non-palpable, inguinal or intra-abdominal.
Follow-Up Care
Post-operative follow-up helps monitor healing, testicular position and long-term development.
Dr. Gautam Banga
Consultant Andrologist & Genito-Urinary Reconstructive Surgeon
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Frequently Asked Questions
Undescended testes occur when one or both testicles fail to move into their normal position inside the scrotum.
Usually, yes. It commonly occurs when normal testicular descent is incomplete before birth.
Yes. Some testicles descend during the first few months of life, but spontaneous descent after about 6 months becomes unlikely.
Current guidance recommends referral when the testicle remains undescended at around 6 months, with surgery generally completed within the following year and preferably before 18 months of age.
Orchidopexy is an operation in which the undescended testicle is brought into the scrotum and secured in its proper position.
Yes. Undescended testes, particularly when both testicles are affected, are associated with a higher risk of fertility problems later in life. Early treatment aims to improve long-term testicular function.
Yes. Cryptorchidism is associated with an increased future risk of testicular cancer. Orchidopexy can reduce risk and makes future examination easier, but it does not completely remove the increased risk.
No. A retractile testicle can move between the groin and scrotum and can usually be brought into the scrotum during examination. It requires monitoring because some retractile testes may later ascend.
Usually not. For most children with undescended testes, physical examination by an appropriate specialist is more useful, and routine imaging before referral is not recommended.
A non-palpable testicle may be located inside the abdomen or may be absent or severely underdeveloped. Laparoscopic evaluation can help determine its location and guide treatment.