Anesthesia for Undescended Testicles

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.

SAC approved answer

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

Return to Ask the Expert

Ask the Expert

About the website contents

All of the information contained within these questions and answers is for education purposes only. The place to get specific medical advice, diagnoses, and treatment is your doctor. Use of this site is strictly at your own risk. If you find something that you think needs correction or clarification, please let us know, contact see below.