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All about undescended testicle

Mr Andrew Robb
Written in association with: Mr Andrew Robb Paediatric Urologist in Solihull
5.0 |

14 reviews

Published: 13/03/2026 Edited by: Conor Lynch on 13/03/2026

An undescended testicle, medically known as cryptorchidism, is a condition in which one or both testicles fail to move into the scrotum before birth. Normally, in male fetal development, the testicles form in the abdomen and gradually descend into the scrotum during the last months of pregnancy. When this process does not occur properly, the testicle may remain in the abdomen or become lodged in the groin.


Cryptorchidism is one of the most common genital conditions seen in newborn boys. It occurs more frequently in premature infants. In many cases, especially during the first few months of life, the testicle descends on its own without treatment. However, if the testicle has not descended by six months of age, medical evaluation is recommended.


The exact cause of an undescended testicle is not always clear. It may involve a combination of genetic factors, hormonal imbalances, and environmental influences that interfere with normal development. Risk factors include premature birth, low birth weight, and a family history of the condition.


If left untreated, cryptorchidism can lead to complications. These include reduced fertility later in life, an increased risk of testicular cancer, inguinal hernia, and psychological concerns related to body image. Early diagnosis and management significantly reduce these risks.


Treatment typically involves a minor surgical procedure called orchiopexy, usually performed between 6 and 18 months of age. During this surgery, the testicle is moved into the scrotum and secured in place. The procedure is generally safe and highly effective. With timely treatment, most boys with an undescended testicle grow up to have normal testicular function and healthy reproductive outcomes.

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