April 06, 2026 / Dr. Hussain Kotawala & Team
Baby Testis Not in Scrotum: Is It Normal or Should You Worry?
if you cannot see or feel your baby boy’s testis in the scrotum, it can be stressful and confusing. Many parents immediately start worrying — is this normal or something serious?
This condition, known as Undescended testis, is actually quite common in newborn boys. However, what most parents struggle with is understanding when to wait and when to take action.
The good news is that with early diagnosis and proper treatment, this condition can be managed safely with excellent long-term outcomes.
Is It Normal for Testis to Be Missing at Birth?
Yes - It is normal for testicles to be undescended at birth. In fact, about 3–5% of full-term baby boys and up to 30% of premature babies are born with one or both testicles not in the scrotum.
Normally, the testicles develop inside the abdomen and descend into the scrotum during the last few months of pregnancy. If this descent does not happen completely, the testis may remain in the abdomen, groin area, or along the path of descent.
- Seen in 3–5% of full-term babies
- More common in premature babies
- Often temporary in early months
In most cases, the testis descends naturally within the first few months after birth.
Can Undescended Testis Come Down on Its Own?
Yes - in some babies the testis descends naturally within the first few months of life.
- Most natural descent happens by 3–6 months
- If not descended by 6 months, medical evaluation is needed
- After 6 months, chances become very low
This timeline is extremely important. Many parents are told to “wait,” but waiting beyond the right age can delay necessary treatment.
Important Insight
If the testis has not descended by 6 months of age, medical evaluation is strongly recommended.
When Should Parents Worry?
Many parents are told to "wait and watch," but timing is very important. You should consult a doctor if:
- Testis is not visible in the scrotum after birth
- Only one testis is seen
- No descent even after 6 months
- Swelling or discomfort in the groin
Is Undescended Testis Dangerous?
While not immediately life-threatening, undescended testis can lead to serious long-term issues if not treated:
- It may affect fertility later in life
- There is a higher risk of testicular problems
- There is a higher chance of injury or twisting (torsion)
- Psychological concerns as the child grows
When is Surgery Needed?
Doctors usually recommend surgery if the testis has not descended by:
6 months to 1 year of age
The surgery, called orchiopexy, is a safe and commonly performed procedure where:
- The testis is moved into the scrotum
- Fixed in the correct position
- Helps normal growth and function
Early surgery gives the best results.
Treatment Options Available in Mumbai
Treatment depends on whether the testis descends naturally or not.
Hormonal Treatment (Rarely Used)
- Used in select cases
- Limited success rate
- Not commonly preferred
Surgery (Orchiopexy)
- Standard Treatment: Orchiopexy is the most effective approach.
- The testis is safely moved into the scrotum and fixed in place.
- Safe and commonly performed procedure.
- Usually done as a day-care or short hospital stay surgery.
What Should Parents Do Next?
If you notice your child has an undescended testis, consult a pediatric surgeon. Early evaluation helps determine the best treatment approach and ensures healthy development. Don't delay - early treatment gives the best results.
- Confirm diagnosis
- Avoid unnecessary worry
- Plan timely treatment if needed
Early surgery gives the best results.
Cost & Recovery Time
The estimated cost of orchiopexy surgery in Mumbai can range between ₹40,000 – ₹1,20,000 depending on the hospital type, surgical technique, and complexity.
Recovery is incredibly safe in experienced hands: Most children recover quickly and can go home within 1–2 days. The child may experience mild discomfort for a few days, followed by a quick return to normal activities, under regular monitored follow-ups.
When to Consult a Pediatric Surgeon
if you notice anything unusual, it’s always better to get an expert opinion early. Consult a pediatric surgeon if the testis is not visible after 6 months, you are unsure about your child’s condition, or there is swelling.
Dr Hussian Kotawala: With 10+ years of experience and 5000+ successful pediatric surgeries , specializes in treating conditions like undescended testis using advanced, minimally invasive, and child-friendly techniques for a safe and completely precise recovery.
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Written By
Dr. Hussain Kotawala & Team
Pediatric Surgeon & Specialist
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