<s>[INST] Hi, I delivered a baby on 30th nov 10. He was born with bladder extrophy with bilateral inguinal hernia with left sided inguinal undescended testis with bony penis. He was immediatly operated on 2nd dec 10 . The surgical details are : functinal closure of bladder extrophy repair ,pubic osteotomy bilaterally,left and right heriotonomy,left orchiopexy,umbicord elonyation and shifting cranially. please advise if these operations are fine also i observe a swelling on the left side testis, this increases when the baby cries [/INST] Hello... the operations seem to be perfect choice.The swelling which you are seeing when the baby is crying is hernia and your baby will require a surgical correction of the hernia after a pediatric surgeons consultation please.Kind regards - Dr. Sumanth Amperayani </s>