Authors : Dr. Nirmal Thapa; Dr. Sudhan Subedi; Dr. Mukesh Jaiswar; Dr. Kabita Sah Swarnkar; Dr. Nabin Thapa; Dr. Robin Khapung; Dr. Ankur Sah Swarnakar; Dr. Sushil Shrestha; Dr. Srikant Agrawal; Dr. Rekma Sah Swarnakar; Dr. Dhiraj Bishankha

Volume/Issue : Volume 10 - 2025, Issue 7 - July

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DOI : https://doi.org/10.38124/ijisrt/25jul1604

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Abstract : Background: Bilateral undescended testes (cryptorchidism) in adults is a rare condition and often associated with infertility and increased malignancy risk. Timely surgical intervention is vital for fertility preservation and oncological safety.  Case Presentation: A 35-year-old male presented to the surgical OPD of Karnali Academy of Health Sciences with groin swelling and dull pain. Imaging revealed bilateral intra-abdominal testes with associated hernia. Successful bilateral orchiopexy and hernioplasty were performed. Postoperative semen analysis was normal.  Conclusion: Timely surgical preservation of undescended testes even in adulthood can lead to favorable fertility outcomes. Long- term surveillance is recommended for malignancy risk.

Keywords : Cryptorchidism, Hernia, Orchiopexy, Fertility, Adult Testicular Preservation, Semen Analysis.

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