When I brought home my adorable German Shepherd puppy, Max, in early 2025, I never imagined we'd be facing a medical condition called cryptorchidism. It all started during his first vet visit at 10 weeks old. Dr. Miller performed the routine examination and dropped the bombshell—"One of Max's testicles hasn't descended." My heart sank, but she reassured me this was actually pretty common in dogs. Little did I know, this was just the beginning of our journey through what dog owners sometimes call "the hidden testicle dilemma."

How I Discovered Max's Condition 🐕
During that fateful check-up, Dr. Miller explained that cryptorchidism occurs when one or both testicles don't make their way down to the scrotum during development. She told me about the gubernaculum—this tiny ligament that's supposed to guide the testicles down. In Max's case, it just didn't do its job properly. She palpated his scrotum and confirmed what I'd been worried about: only one testicle was present.
Here's what I learned about the signs:
| Symptom Type | What It Looks Like |
|---|---|
| Physical | Empty scrotum on one or both sides |
| Behavioral | Normal male behaviors despite condition |
| Reproductive | Possible infertility |
Dr. Miller explained that unilateral cryptorchidism (one testicle retained) was more common, and in Max's case, it was his right testicle that was playing hide-and-seek. She warned me that if we didn't address this, Max could face serious risks down the road—testicular cancer being the big one. The retained testicle, sitting up in his abdomen where it's warmer, becomes a ticking time bomb for developing tumors.
The Diagnosis Process 🔍
We went through several steps to confirm Max's condition:
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Physical examination at 10 weeks (testicles should descend by 8 weeks)
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Testosterone test to confirm he hadn't been neutered previously
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Abdominal ultrasound to locate the wandering testicle
The ultrasound was fascinating—and a bit nerve-wracking. The technician showed me the screen, pointing out the retained testicle nestled near Max's bladder. "It's like Where's Waldo, but with anatomy," she joked, trying to lighten the mood. The imaging confirmed it was in his inguinal canal, which Dr. Miller said was actually good news—easier to retrieve surgically than if it were deeper in the abdomen.
Breeds at Higher Risk 📊
While researching, I discovered Max wasn't alone in this. Dr. Miller shared that certain breeds seem more predisposed:
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German Shepherds (like Max!)
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Boxers
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Miniature Schnauzers
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Yorkshire Terriers
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Pomeranians
She emphasized that any breed can be affected, but smaller and toy breeds do show higher incidence rates. What really hit home was learning this condition has genetic components. Breeders who continue to breed cryptorchid dogs—or their littermates—are essentially passing on this defect. It's a real ethical issue in the breeding community.
The Surgical Decision 🏥
By the time Max was 6 months old, the retained testicle still hadn't descended. Dr. Miller was firm: "Surgery is the only treatment, and we need to do it sooner rather than later." She explained that even though only one testicle was retained, both needed to be removed. This wasn't just about preventing cancer—it was about ensuring Max couldn't pass this genetic defect to any potential offspring.
The pre-surgery preparations were extensive:
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Complete physical exam from head to paw
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Bloodwork to check organ function
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Fasting before the procedure
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Discussion of anesthesia risks
I'll admit, I was a nervous wreck dropping Max off that morning. The veterinary team was incredibly reassuring, explaining every step of what they called a "cryptorchid neuter"—which is basically a regular neuter with a treasure hunt component.
Surgery Day: What Actually Happened ⚕️
The surgical team walked me through their process:
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Pre-anesthesia: Sedatives and pain meds to relax Max
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General anesthesia: Injection to put him in deep sleep
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Intubation: Tube placed to help him breathe during surgery
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Monitoring: Heart rate, oxygen levels, temperature tracked
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The incision: Based on ultrasound location of retained testicle
Dr. Miller called me mid-procedure with an update. "Good news," she said. "We found it exactly where the ultrasound showed. The descent had stopped in the inguinal canal, so we didn't need to open the abdomen." This was a huge relief—less invasive meant easier recovery.
She described how they:
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Made a small incision near where the testicle was located
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Carefully retrieved both testicles
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Tied off the stalks to prevent bleeding
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Closed with internal sutures and skin glue
Recovery: The Real Work Begins 🏡
When I picked Max up that evening, he was still groggy but wagging his tail weakly. The veterinary team gave me what felt like a novel's worth of instructions:
Medication regimen:
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Pain medication every 12 hours
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Anti-inflammatory as needed
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Calming supplements (Max was quite energetic!)
Activity restrictions:
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No running, jumping, or playing for 10-14 days
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Leash walks only
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Elizabethan collar at all times (the "cone of shame")
Incision care checklist:
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✓ Check twice daily for redness
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✓ Watch for swelling or discharge
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✓ Prevent licking at all costs
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✓ Keep dry and clean
The first few days were tough. Max hated the cone and kept bumping into furniture. But by day 3, he'd adapted—though he still gave me those pathetic puppy eyes that said "Please take this thing off me!"
Why Early Detection Matters ⏰
Looking back, I'm so grateful we caught this early. Dr. Miller explained that complications from untreated cryptorchidism can be severe:
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Testicular torsion: Acute abdominal pain requiring emergency surgery
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Testicular cancer: 10 times higher risk in retained testicles
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Sertoli cell tumors: Can cause feminizing symptoms in male dogs
She shared a particularly memorable case of a dog who developed what's called "feminizing paraneoplastic syndrome"—the retained testicle tumor produced estrogen, causing breast development and hair loss. That story alone convinced me we'd made the right choice for Max.
Life After Cryptorchid Surgery 🌈
Two weeks post-surgery, Max got his sutures removed and was cleared for normal activity. The transformation was remarkable—he had more energy, seemed more comfortable, and best of all, his risk of testicular cancer was now zero.
Long-term benefits we've experienced:
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No risk of testicular diseases
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Reduced roaming behaviors
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Lower aggression levels
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Elimination of genetic transmission risk
Dr. Miller emphasized that Max would live a completely normal lifespan. In fact, most dogs with cryptorchidism who undergo timely neutering do just fine. It's been six months now, and you'd never know Max had any surgery at all. He's thriving, playing, and living his best dog life.
Reflections and Advice for Other Pet Parents 💭
If I could go back and give myself advice when we first got Max's diagnosis, it would be:
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Don't panic—this is common and treatable
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Trust your vet—they've seen this countless times
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Act early—the sooner you address it, the better the outcome
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Consider the genetics—if you ever plan to breed, this changes everything
The experience taught me how crucial those early puppy check-ups are. That 8-week mark is key—if testicles haven't descended by then, it's time to have a serious conversation with your vet.
Max's journey through cryptorchidism wasn't what I expected when I brought home that fluffy puppy, but it taught me so much about canine health, responsible pet ownership, and the incredible advances in veterinary medicine. Today, Max is a happy, healthy 18-month-old who's living proof that with proper detection and treatment, cryptorchidism is just a bump in the road—not a roadblock to a wonderful life. 🐾