Hidden testicle surgery

Hidden testicle surgery

Normal male testicles are visible under the penis, but there is another situation of male testicles, that is, cryptorchidism, which is a congenital disease, so parents must observe whether their baby has cryptorchidism when the baby is born. Because the earlier the disease is discovered, the higher the chance of treatment. The main method to solve cryptorchidism is surgical treatment. The following article will introduce several commonly used surgical methods for cryptorchidism.

The treatment for cryptorchidism surgery is mainly for children who are six months old and whose testicles have not descended to the scrotum. Depending on the situation, surgical treatment should be performed as soon as possible. There are three main types of surgeries for cryptorchidism. One is open surgery, testicular descent and fixation, which is not for patients with palpable cryptorchidism. The second is laparoscopic surgery, which is mainly for patients whose testicles cannot be touched externally. Another is autologous testicle transplantation, which is mainly for patients with high-positioned testicles.

reason

1. For most primary patients, the cause is unknown and there is no family history. Only a small number of patients have a family history of the disease. It is an autosomal recessive inheritance.

2. Secondary is relatively rare. Any lesion that damages the anterior pituitary or hypothalamus can cause growth and development stagnation. Common ones include tumors (such as craniopharyngioma, glioma of the optic chiasm or hypothalamus, pituitary xanthomas, etc.), infections (such as encephalitis, tuberculosis, schistosomiasis, toxoplasmosis, etc.), trauma, vascular necrosis and X-ray damage.

No testicle examination

The fetal testicles were damaged by some toxin. The testicles are located high in the inguinal canal and abdomen or are absent, and the testicles are often not palpable during clinical examination. Also pay attention to hidden testicles and conduct timely abdominal ultrasound monitoring. And other related examinations, such as MRI, six sex hormone tests, etc.

Differential diagnosis of atesticular

Patients with cryptorchidism often seek medical attention because of an empty scrotum with no testicles inside. There are also patients who come for treatment with hernia as the main complaint, or who come for examination due to bilateral cryptorchidism or post-marital infertility. The diagnosis is generally not difficult. However, the differentiation between cryptorchidism (where testicles cannot be felt) and atestis should be taken seriously, because the latter does not require surgery.

Unilateral testicular agenesis is difficult to diagnose preoperatively, and hormone tests are normal. Gonadal venography, laparoscopy, B-ultrasound, and CT scan may be helpful for diagnosis, but surgical exploration is still required if necessary.

How to relieve testicle loss

Once it is discovered that a child has cryptorchidism, he or she must immediately go to a regular hospital for specialist treatment. Methods include medication and surgery, but no matter which treatment method is used, it must be performed within the child's two years old, because pathological changes will occur in the testicular tissue of children over two years old. You should also pay attention to your child's physical changes and go to the hospital for examination and treatment in time if you find any abnormalities.

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