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Cryptorchidism

Cryptorchidism


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In childhood, boys often have a disease such as cryptorchidism. And with the help of the operation, serious complications can be avoided.

We are talking about possible twists, the appearance of a malignant tumor. The testicles are given the opportunity to improve their development and functionality. But even an operation performed on time, and besides, with a one-sided problem, is still fraught with the risk of infertility. Parents, in search of a solution to the problem, turn to different specialists, receiving inaccurate advice on the treatment of cryptorchidism. Some myths about this disease are worth debunking.

By the time of puberty, the testicle will descend by itself. Doctors believe that the age limit for lowering the testicle into the scrotum is one year. After that, wait is no longer worth it - you will have to do the operation.

The operation is best done at an older age. Sometimes parents are hesitant to send their young children for surgery, expecting to grow up. In fact, the earlier the operation is performed, the higher the chances of success. The best age for her is 1.5-2 years. Further, the risk of testicular atrophy only increases. If the operation is delayed, it can lead to the complete removal of the atrophied testicle.

The operation for cryptorchidism is the most common, it will be performed by any surgeon. This operation is very serious and delicate. The doctor needs to be very careful with the tissues. The fate of the testicle lowered into a normal position depends on the skill of the surgeon and the work of his hands and instruments. Such an operation should be performed only by a pediatric surgeon or an urologist-andrologist with sufficient experience.

In cryptorchidism, the testicle is in the abdominal cavity. This type of disease is called abdominal. But there is also an inguinal type, when the testicles are located in the lumen of the inguinal canal. These forms are confused with dystopia and hypo- or aplasia, when the abnormal position is congenital or the testicle is underdeveloped or absent from birth.

With cryptorchidism, the testicle is constantly absent from the scrotum. This is what true cryptorchidism looks like, but there is also a false variety. When it is hot or in a warm bath, the testicle descends into the scrotum. But at the touch of a cold one, on the contrary, it is drawn in. Up to the age of 15, boys can maintain this ability by lifting the testicles into the inguinal canal or abdominal cavity. Even fighters use this feature, protecting their reproductive functions from blows to the groin.

Cryptorchidism is inherited. There are several causes of the disease. Heredity is just one of them. Abnormalities in the chromosomes prevent the testicles from descending into their proper place. Also, cryptorchidism can result from exposure of the infant to pathogenic factors in the womb, the result of taking medications. Disruptions in the work of the endocrine system of a pregnant woman also lead to a lack of hormones responsible for the processes of lowering the testicle. Some mechanical barriers can also interfere: those obtained due to trauma, strictures, narrowing of the inguinal ring.

Cryptorchidism is fraught with only infertility. Not descended testicles are located in a warmer environment than nature intended. The production of hormones is gradually disrupted. Boys are starting to gain weight. The timely and complete development of secondary sexual characteristics is disrupted: a mustache and a beard grow slowly, a high voice remains, impotence appears with age. Undescended testicles are fraught with umbilical or inguinal hernia. Her infringement will lead to surgery. The risk of malignant degeneration of an undescended testicle is 35 times higher than that of a normal testicle. Other complications include testicular injury or volvulus.

During the operation, the testicle is simply lowered into the scrotum. During the operation, the unchanged testicle is sutured to adjacent tissues. A complication can be its incorrect location, atrophy, violation of the integrity of the flow. But in half of the cases, during the operation, the testicle cannot be found at all; it can be removed if serious morphological changes have occurred.

Cryptorchidism can be avoided with prevention. There are no quality prevention methods. It's just that you should seriously prepare for pregnancy, get rid of chronic diseases first, avoid stress and stress. In the very first months, when the baby's internal organs are just forming, you should stop taking harmful substances, painkillers.

Cryptorchidism is not cured with medication. Chorionic gonadotropin is used for treatment. The success of this technique is only 20%. Moreover, every fifth patient has a relapse of the disease after the termination of conservative treatment. And the higher the testicle is, the lower the likelihood of successful therapy. The standard drug regimen is two injections per week for a month. You can start injections starting from six months of age. But the main treatment is still operative. And hormone therapy usually just prepares the body for surgery.

Cryptorchidism occurs equally often in all newborns. Among full-term babies, about 3.4% are born with this disease, but among premature babies, on average, 30%. So the child's health in this aspect largely depends on the mother and her attention to her health.


Watch the video: Undescended testis (July 2022).


Comments:

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