Undescended Testis in Scrotal Sac

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

Childhood Ailments

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Question
I have a ten year old boy that was born with a hypospadias. That was repaired when he was 1 yr. old and a second surgery was done when he was 8 1/2 yrs. old to enlarge the urine stream. The appearance of his penis seemed "normal" at that time although I did question why his tests did not seem to be dropped like that of his younger brother. I was assured that they would drop. Now he has grown physically quite a bit in the past 1 1/2 years. He is a big, solid kid who is about 5' 8" tall and weighs about 100 pounds. He is not shy and often walks naked to and from the shower. My concern is while the rest of him has grown tremendously, his penis size has not grown at all. In fact the length of his penis seems to have disappeared in the fatty tissue around it. At the risk of sounding like a paranoid parent, is this something to pursue with his pediatrician? He has started to comment about how "tiny" his penis is. I've tried to assure him that will change with puberty. Is there anything else that we should be aware of? Could this have anything to do with his history with hypospadias? Should I still carry any concern with his testes not dropping? Thank you for your reply.
Answer
Do you mean to say that your child's testis have not descended in the scrotal sac at all? If that is the case, one may have to do an ultrasound of the pelvis to look for the testis. If they have descended and just the penis is small, sometimes in fat children the penis appears to be buried within the fat tissue and appears small. What is important is to check the stretched penile length and see if it is in the normal percentiles for his age. There are special charts available. If the penis length is small or the testis are undescended, consult your pediatric endocrinologist. Back to All Questions

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