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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Undescended Testicles In Adulthood Be Treated?

I am Kumar from Bangalore. I have undescended testicles from childhood and my parents didnt fix it in my childhood due to carelessness.My age is 31 and i am married.I know i cant get my wife pregnant and i also consulted some doctors here who couldnt find my testicles in normal BT scan so they wann try Micro Scan. can i go for testicle transplant? can i get it fixed now even at this age?
Thu, 18 Feb 2016
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General Surgeon 's  Response
Hi,Dear,Thanks for your query to HCM.
Dear I read your query and reviewed it with context to your query facts.
I understood your health concerns and feel Concerned about them.

Based on the facts of your query, you seem to suffer from-
Cryptorchidism-Congenital Undescended testes with ?Testicular dysfunction causing Fertility problem for you.
You need to assess the sperm producing possibility in your undescended testes.Though chances of they being exposed to risk of atrophic or Cancer development, you can take a chance ONLY if the Biopsy of undescended testes shows normal tissue.
In that case Orchiopexy with supplementary HCG and testosterone combined treatment to maintain your body functions could be tried at expert hands.
After that if Testes functioning is normal, I would suggest you to go for ART(Assisted Reproductive Technology) with ICSI-Intracytoplasmic Sperm Injection,which would give you chance to have progeny from your wife.
For this you need to contact IVF Speciality Clinic in your area, where you could have option, provided your undescended testes is brought down from abdomen by Orchiopexy and is having functioning testicular tissue.
Hope this would help you to treat your health issues in the best way possible.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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How Can Undescended Testicles In Adulthood Be Treated?

Hi,Dear,Thanks for your query to HCM. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from- Cryptorchidism-Congenital Undescended testes with ?Testicular dysfunction causing Fertility problem for you. You need to assess the sperm producing possibility in your undescended testes.Though chances of they being exposed to risk of atrophic or Cancer development, you can take a chance ONLY if the Biopsy of undescended testes shows normal tissue. In that case Orchiopexy with supplementary HCG and testosterone combined treatment to maintain your body functions could be tried at expert hands. After that if Testes functioning is normal, I would suggest you to go for ART(Assisted Reproductive Technology) with ICSI-Intracytoplasmic Sperm Injection,which would give you chance to have progeny from your wife. For this you need to contact IVF Speciality Clinic in your area, where you could have option, provided your undescended testes is brought down from abdomen by Orchiopexy and is having functioning testicular tissue. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS