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It is defined as the testicles not descending to the base of the scrotum at birth.
Undescended testicles are seen in 3-4% of male babies born at term. This
rate can reach 30% in premature babies. In most children, the testicles
descend spontaneously within the first three months. The incidence of
undescended testis after 3 months is 0.8%. In most of the cases (80%), the
undescended testicle is unilateral.
The abdomen may seem like an odd place for the testicles, but it
isn’t. The testicles in males and the ovaries in females develop from the
same embryonic tissue in the abdomen of the fetus. The ovaries remain in
place. The testicles should descend into the groin in the eighth month of
pregnancy and from there into the scrotal sac at the base of the
penis. However, 3-4% of boys born at term and one third of preterm babies
do not experience this. The result is an undescended testicle.
The most common type (44%) is the testicle in the scrotum, but high.
Due to the wandering properties of the testicles, it may not be easy to
understand whether they descend or not.
Normally, in extreme heat, the testicles sag. This is a mechanism to
protect sperm from heat, and when the environment is too cold or handled, they
are pulled back into the body (protecting against extreme cold and injury).
In some children, the testicles are extremely sensitive and are stored in the
body for a long time. Usually the left testicle is lower than the right
one, which may give the impression that the right testicle is not descending
(and causes many children to worry).
Undescended testicles do not cause urination problems or pain and descend
spontaneously.
The diagnosis of undescended testicles can be made by checking whether both
testicles are in the scrotum, even when the baby is in a hot bath.
Testicles have not descended in only 5 or 4 out of 1000 male babies by the age
of one.
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