What is a major complication associated with undescended testicles?

Prepare for the PAEA Pediatrics EOR Exam. Study with flashcards and multiple-choice questions, each question has hints and explanations. Ace your exam!

The major complication associated with undescended testicles is the increased risk of testicular cancer. When the testicles do not descend into the scrotum, they remain located inside the abdomen or inguinal canal, which exposes them to different temperatures and environmental factors that can affect their development. Studies have shown that individuals with a history of undescended testicles (cryptorchidism) have a higher incidence of testicular cancer later in life, especially if the condition is not corrected by surgery.

Additionally, the likelihood of testicular cancer increases further if the undescended testicle is located in the abdomen rather than the inguinal canal. The importance of early surgical intervention, typically performed during infancy, not only addresses the anatomical issue but also mitigates the long-term risk of malignancies associated with undescended testicles.

While conditions such as inguinal hernia, fertility problems, and psycho-social issues can also be associated with undescended testicles, the specific and significant link to testicular cancer highlights why this complication is particularly emphasized in clinical practice and pediatric training.

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