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| Name | Orchiopexy surgery for both sided Undescended testis in a child- Dr A.K.Singal, Mumbai, India |
| Video Uploader | Video From Pediatric Urology & Hypospadias Channel |
| Upload Date | This Video Uploaded At 25-10-2014 15:21:23 |
| Video Discription | Undescended testicles, also called cryptorchidism, may be seen in 4% of boys at birth, and there is an even higher incidence in premature infants. 60-70% of these undescended testis can come down to normal location by 4-5 months of age. A good clinical examination should be done by a Pediatric urologist or a pediatric surgeon at 6 months of age to check if the testis is present or not. If the testis is present, it may have descended incompletely and may lie within the inguinal canal (just above the scrotum). Such a testis may be felt by the examining Pediatric Surgeon or a Pediatric urologist doctor called a palpable UDT. The testicle may have not descended properly, but remains within the tummy or it may be absent. In such a case a testis may not be felt by the doctor. Tests such as ultrasound or MRI may not help much in finding out if the testis is present or not or where it is. A clinical examination by a pediatric urologist surgeon is the best way to decide. If the testis can’t be felt by the doctor, a laparoscopy surgery is the only test which can determine with 100% accuracy the presence and location of testis. Ideal age to operate is around 6-9months of age and this is the personal preference of Dr A.K.Singal as well. Undescended testis which can be felt by the pediatric urologist surgeon (called palpable testis) can be managed with a Surgery called Orchiopexy. It is a day care surgery and the children can go back home in the evening of surgery. The surgery takes about 30-45 minutes and all the stitches are put within the skin and need not be removed. Dr Singal usually calls for a review 2 days and 2 weeks after surgery to check for healing. Further, we use only one dose of antibiotic just before surgery in operation theater and thus excessive use of antibiotics is avoided. If the testis cannot be felt by the doctor (called non-palpable undescended testis), its presence and location must be determined. A diagnostic laparoscopy is recommended through a small cut in the belly button to check for testis within the belly. A telescope attached to the camera can give a very good view of all the locations where the testis may be inside the belly or if it is absent. If testis is found inside the belly, orchiopexy using laparoscopy can be done immediately (called laparoscopic orchiopexy). Dr A.K.Singal is one of the best Pediatric Urologist surgeons in India and people travel to Mumbai, Navi Mumbai and Thane to get their kids treated under his care from all over India. |
| Category | People & Blogs |
| Tags | Testicle (Anatomical Structure) | Orchiopexy (Medical Treatment) | Cryptorchidism (Disease Or Medical Condition) | pediatric surgeon india | pediatric urologist india | undescended testis | undescended testis in a child | undescended testis surgery | undescended testis surgery in a child | undescended testis surgery mumbai | undescended testus surgery india | laparoscopic surgery in a child | Arbinder Singal | Surgery (Medical Specialty) | India |
