Pattern of presentation and management of undescended testes in adolescent and adults

Abstract

Background: Undescended testis may present in adolescent and adults due to torsion, hernia or infertility. We present our experience in the management of undescended testes in adolescent and adult patients. Methodology: This is a retrospective study of 30 patients above the age of 10 years managed for undescended testes by our hospital from January 2011 to December, 2020. Data was collected via proforma and analysed using SPSS version 25.0 for windows. Results: The mean age of the patients was 31.1 ± 14.1 years with a range of 12-70 years. There was infertility in 15 patients (50%), groin swelling ± pain in 15 patients (50%). Orchidopexy ± herniorrhaphy and orchidectomy was done for 20 patients (66.7%). Conclusion: Undescended testes in adult and adolescent may present due to infertility, torsion, hernia or malignant transformation. Orchidopexy with or without orchidectomy is done depending on the location, bilaterality and status of the testes.