Undescended Testis is a failure of one or both testis to descend into the scrotum at birth. It is rare in full-term babies and common in children born prematurely.

Unable to see or feel the testicle in the scrotum is the main sign, it is typically detected when the baby is examined soon after birth.

The exact cause is of Undescended Testis is unknown but a combination of genetic, maternal health and environmental factors causes disruption in hormone and nerve activity which lead to the Undescended Testis. Some of the risk factors include low birth weight, premature birth, use of alcohol and cigarette during pregnancy lead to this condition.


The aim of treatment is to identify the location and move the Undescended Testis to its proper location in the scrotum. Treatment should be done before one year to lower the risk of complication such as infertility and testicular cancer.

Surgical Management

Laparoscopic Orchiopexy: In Intrabdominal Testis this procedure is performed under general anesthesia by inserting a telescopic port through the umbilical area after making an incision. Other two ports are inserted from either side of lower quadrant of the abdomen, diagnostic laparoscopy is performed to locate the testis and sizer or identify the presence of a hernia then the urologist carefully manipulates the testis into the scrotum and stitches into its place.

Open Orchiopexy:If testis is present in the inguinal area the surgeon will perform open method by making a small incision in the groin and locate the testicle, he will examine the testicles. After it a next incision is made in the scrotum to make a pocket under the scrotal skin and place the testicles into the scrotum, then the incisions are closed by dissolvable sutures.