Is surgery necessary if the child has cryptorchidism?

According to statistics, this diagnosis is made in 3-5 boys out of 100. In premature babies, these figures are even higher. Cryptorchidism conditionally translated as "hidden egg". In most cases, this disease is unilateral.

Testicular formation occurs in the abdominal cavity, after which they descend into the scrotum during the last trimester of pregnancy. This complex process is influenced by many factors: the level of the male sex hormone testosterone, anatomical and physiological features, intra-abdominal pressure, and so on.

During the first 3-6 months of a child’s life, in most cases of initial cryptorchidism, the testes are in place. It is believed that this is due to increased testosterone levels.

Why is the position of the testicles so important?

Normal development of the testicles can occur only in the scrotum. Its temperature is 2-3 ° C lower than in the abdominal cavity, and this allows spermatozoa to develop normally. Therefore, if medical assistance was not provided on time, in the future the boy may have infertility. Yes, and the cosmetic effect can lead to a complex of sexual inferiority.

If by 6 months the situation does not change, you need to consult a surgeon-urologist. If possible, contact the specialized center, because in some difficult situations, modern specialized equipment may be required to detect the testicle. In addition, in some cases, only an experienced specialist will be able to distinguish cryptorchidism from an abnormally located testicle.

There are cases of false cryptorchidismin which the testicles retract into the inguinal canal. According to experts, this situation occurs in half the cases. That is, under the influence of external factors (fear, cold water), a normally located testicle can sometimes pull up into the scrotum, due to the reflex contraction of the special muscle. In this case, it is also necessary to see a doctor.

Is surgery necessary for cryptorchidism?


In some cases, it is enough to introduce the child the hormone chorionic gonadotropin, which helps the natural process of lowering the testicles. Experts estimate the effectiveness of such treatment is about 30-35%. But this hormone helps to stop the growth of the child, therefore, the possibilities of this method are very limited.

Therefore, surgery remains the main treatment for cryptorchidism, and the introduction of the hormone is sometimes used to prepare for it. The optimal age for surgery is between 1 and 2 years of age. The deadline is 3 years.

If, for some reason, the operation was not performed before 6 years, in the future, the testicle must be removed because of the risk of tumor development. Therefore, no need to worry about the early age of the baby, the sooner the testicle is "in place", the better.

Remember that most of the problems in men begin in early childhood, so be sure to show your child once a year to a urologist.

Watch the video: Orchiopexy to Correct Undescended Testicle (April 2020).


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