Undescended Testicle Surgery / Bratislava / Piešťany

What is undescended testicle surgery actually?

During intrauterine development, testicles are formed in the abdominal cavity and gradually descend through the inguinal canal into the scrotum. The scrotum is needed for proper development of male germ cells (sperm) because it provides the testicle with a temperature 4°C lower than body temperature. Cryptorchidism / undescended testicles into the scrotum / is among the most common congenital disorders of the male genitalia, affecting 0.8% of boys. It occurs more frequently in prematurely born children. The solution is undescended testicle surgery.

When should undescended testicle be operated?

Undescended testicle surgery is best performed between 12-18 months of the child’s life. But of course, if this congenital defect is discovered later, it should be operated later as well, to minimize the risk of improper development of the child’s testicle with possible damage to spermiogenesis and the risk of testicular tumor development.

What problems does undescended testicle surgery solve?

The procedure solves undescended testicle, non-palpable testicle in the scrotum in boys.

What are the advantages of undescended testicle surgery?

The surgery brings many benefits for the child’s physical and mental health. It reduces the risk of reduced fertility and testicular tumor development, which accompanies long-term leaving the testicle outside the scrotum. In addition, it allows the testicle to be placed in an anatomically natural position, which improves the possibility of self-examination in the future and minimizes trauma during physical contact (for example during sports). Thanks to this, the procedure has a positive impact not only on medical indicators, but also on the psychological state of the child and their parents.

What are the risks of undescended testicle surgery?

It is a developmental defect with higher risk of cancer in the affected testicle and higher risk of infertility.

There are several forms of this condition. The testicle may be located in the abdominal cavity and is not palpable during examination, or its descent may stop anywhere between the abdominal cavity and the scrotum. If it gets stuck in the groin or in the space above the scrotum, it is usually palpable. In case of anorchia, the testicle is completely missing due to damage during prenatal development.

How does undescended testicle surgery work?

In case of palpable undescended testicle, we perform orchiopexy surgery, the aim of which is to preserve the vitality of the testicle and place it in the scrotum. This can be done if the undescended testicle is vital, identifiable and has a sufficiently long vascular pedicle. Sometimes the testicle may be poorly developed or abnormal. In this case, it is better to remove the affected tissues from the organism. Silicone implants are used to remove aesthetic handicap and psychological block, which imitate the shape and size of the removed testicle. These are implanted only after puberty.

In some cases we palpate the testicle in the scrotum, but more often it is in the inguinal canal than in the scrotum. We call this condition testis mobilis. In this case and in case of conditions after testicular torsion, we indicate orchiofixation.

Who performs undescended testicle surgery at Lauros clinic?

The surgery is performed personally by MUDr. Michal Polák, an experienced pediatric urologist, and MUDr. Milan Gajdoš, MPH, an experienced urologist with more than 30 years of practice. Both have long-term experience with pediatric patients.

Anesthesia is performed by an experienced pediatric anesthesiologist with several years of practice in a pediatric university hospital. We welcome the presence of the child’s parents during their stay at our facility. After surgery, the child goes home accompanied by parents on the day of surgery. The condition does not require hospitalization.

Private one-day surgery facility in Bratislava ensures the highest quality of materials used and the highest hygienic standard. Our facilities guarantee discretion and safety (here you will not come into contact with masses of people as in a hospital). Individual and kind approach with constant presence of the doctor during your stay with us with the possibility to communicate with the doctor even after the procedure by phone 24 hours daily or personally until complete healing is a matter of course.

How much does undescended testicle surgery cost?

The price of undescended testicle surgery in general anesthesia including anesthesiological preoperative examination is 1900 Euro.

Who is the undescended testicle surgery intended for?

The procedure is intended for boys. In our center, we perform surgeries on children from 3 years of age.

Who is the undescended testicle surgery not intended for?

The procedure is not intended for women.

What is the process before the undescended testicle surgery?

The undescended testicle surgery is preceded by a consultation at our clinic in Bratislava or Piešťany. During the consultation, we perform examinations, define the need for surgery, and set the operation date.

After a preoperative examination by their pediatrician, the boy undergoes an anesthesiology preoperative assessment a few days before the surgery.

The child or boy usually arrives at the clinic in the morning on an empty stomach, accompanied by at least one parent.

What happens after the undescended testicle surgery?

After the surgery, the child remains for several hours in the postoperative room accompanied by a parent. Following the postoperative check and parental instructions, the child is discharged home. At home, parents continue wound care and dressing changes according to the doctor’s instructions until complete healing.

What does the completed undescended testicle surgery look like?

In this section, we present a gallery of photographs showing what the completed undescended testicle surgery looks like. The images are for illustrative purposes only to give you an idea of the outcome.