In childhood, boys often have a disease such as cryptorchidism. This term hides the failure of the normal development of the testicle, as a result of which it is absent in the scrotum. Usually the testicle is incorrectly formed from the uterine age, its functions are violated, and it will not be fully functional, relatively healthy twin. And with the help of surgery you can avoid serious complications.
It is about possible torsions, the appearance of a malignant tumor. Eggs are given the opportunity to improve their development and functionality. But even in time carried out operation, moreover, moreover, with a one-sided problem still fraught with a 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.
At the time of puberty, the testicle descends.
Doctors believe that the age limit for lowering the testicle into the scrotum is one year. After this, it is no longer worth waiting for – it is necessary to do the operation.
The operation is best done at an older age.
Sometimes parents do not dare to give their young children to an operation, expecting an adult. In fact, the chances of success are higher the earlier the operation is performed. The best age for her is 1.5-2 years. Further risk of testicular atrophy only increases. If the operation is tightened, this can lead to the complete removal of the atrophied testicle.
Operation with cryptorchidism is the most common, it will be performed by any surgeon.
This operation is very serious and delicate. The doctor needs to work very carefully with the tissues. From the skill of the surgeon and the work of his hands, instruments, the fate of the egg, lowered into a normal position, depends. This operation should be carried out only by a child’s surgeon or a urologist-andrologist with sufficient experience.
In cryptorchidism, the testicle is located 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 location is congenital or the testicle is underdeveloped or absent from birth.
With cryptorchidism the testicle is constantly absent in the scrotum.
This is how true cryptorchidism looks, but there is also a false version of it. With her in the heat or in a warm bath the testicle descends into the scrotum. But when you touch the cold, it, on the contrary, is drawn. Up to 15 years, boys can maintain this ability by lifting the testicles into the inguinal canal or into the abdominal cavity. This feature is used even by fighters, protecting their childbearing functions from blows to the groin.
Cryptorchidism is inherited.
There are several causes of the disease. Heredity is only one of them. Anomalies in chromosomes prevent the testicles from descending to their proper place. Also, cryptorchidism can result from exposure to the infant of pathogenic factors in the womb, the result of taking medications. Failures in the work of the endocrine system of the pregnant woman also lead to a lack of hormones responsible for the processes of lowering the testicle. Some mechanical obstacles can also interfere: they are due to trauma, stricture, narrowing of the inguinal ring.
Cryptorchism is fraught with infertility only.
No testicles are located in a warmer environment than is intended by nature. Gradually disrupted the production of hormones. The boys start gaining weight. The timely and complete development of secondary sexual characteristics is broken: the mustache and beard grow slowly, the voice remains high, impotence appears with age. Undescended testicles are fraught with umbilical or inguinal hernia. Her infringement will lead to an operation. The risk of a malignant degeneration of an undescended testicle is 35 times higher than that of a normal testicle. Other complications are trauma of the testicle or its curvature.
During the operation, the testicle is simply lowered into the scrotum.
During the operation, the unchanged testicle is stitched to the adjacent tissues.Complication can be its incorrect location, atrophy, disruption of the integrity of the flow. But in half of the cases the operation of the testicle can not be detected at all, it can be removed if there are serious morphological changes.
Cryptorchidism can be avoided through prevention.
There are no qualitative methods of prevention. It’s just a matter of getting pregnant seriously, getting rid of chronic diseases beforehand, avoiding stress and stress. In the very first months, when the internal organs of the baby are only being formed, it is necessary to refuse the intake of harmful substances, anesthetics.
Medically, cryptorchidism is not treated.
Chorionic gonadotropin is used for treatment. The success of such a technique is only 20%. At the same time, every fifth person after the termination of conservative treatment is relapsed. And the higher the testicle, the lower the probability of successful therapy. The standard drug regimen provides for two injections per week for a month. You can start injections, starting at six months of age. But the basic treatment is still prompt. And hormone therapy usually just prepares the body for surgery.
Cryptorchidism occurs equally often in all newborns.
Among term infants, about 3.4% are born with this disease, but among the premature babies they average 30%. So the health of the child in this aspect largely depends on the mother and her attention to her health.