Home | Calendar | Español | Media Room | Shop | Contact Us

Anesthesia for Undescended Testicles

The father of a nine-year-old boy is seeking recommendations for anesthesia during a possible upcoming surgery for undescended testicles.

If the patient is older than five and sufficiently cooperative, I would begin by putting EMLA cream on the patients hands and then, 90 minutes later, put an IV in. This will allow for painless IV insertion. We use oral ketamine and midazolam as an alternative approach to obtaining IV access.

There are a number of surgeons who are doing undescended testicle surgery with a laparoscope. Others are done through an incision similar to that used for hernia repair. I would need to know the proposed route the surgeon will use to provide a comprehensive recommendation, as my approach would be dramatically different if this were a laparoscopic procedure rather than hernia incisions.

AZ/TK 7-13-10



Ask The Expert Home Page > A > CdLS Expert Entry: Anesthesia for Undescended Testicles

Legal Disclaimer:  Please take note that the CdLS Foundation's Ask the Expert service is comprised of volunteer professionals in various areas of focus. Response times may vary and a response is not guaranteed. Answers are not considered a medical, behavioral, or educational consultation. Ask the Expert is not a substitute for the care and attention your child's personal physician, psychologist, educational consultant, or social worker can deliver.