Enhancing Outcomes for Adolescent and Young Adult Patients with Undescended Testes

Background: Undescended testes (UDT), where one or both testes fail to descend into the scrotum, pose risks such as testicular torsion, trauma, subfertility, and an increased risk of malignancy, including testicular cancer. Early surgical intervention, typically orchidopexy, is essential to mitigate these risks and support normal testicular function. Guidelines recommend performing surgery before the age of two to optimize outcomes and prevent complications. Material and Methods: This was a retrospective study on patients with UDT. Thirteen patients above 15 years who presented with features suggestive of UDT from July 2018 and to January 2020 in Tertiary Care Teaching Institute of India were included in the study. Results: Eighteen patients with problems of testicular descent were identified. Four patients had ectopic testes, one had retractile testes and these were excluded from the study. Two had incomplete records and were also excluded from the study. Conclusions: The management of undescended testes (UDT) in adolescents and young adults is a crucial topic in urology, as delayed diagnosis and treatment can lead to significant complications. Early intervention is important to prevent fertility issues, testicular malignancy, and psychosocial problems.