Cryptorchidism in men and children - symptoms, causes and treatment. Do you need surgery for cryptorchidism? Cryptorchidism effects

In the proposed article we will tell about the congenital pathology of male cryptorchidism. We will try to talk about the causes and symptoms of pathology. We will also reveal the principles of treating this pathology.

Cryptorchidism is a congenital pathology of male toddlers. Thus in the scrotum only 1 testicle is determined, or they may be absent altogether. In a simple language, this pathology of development is not called the descent of the testicle.

When a baby is born , the cryptorchidism occurs in 5% of the born boys, while during the first half of the cryptorchidism is self-eliminating in 70-80% of cases. In adulthood, in the absence of the necessary correction of this disease in childhood, it occurs only in 1% of men.

Cryptorchidism of testicles - signs and symptoms in men and children

Cryptorchidism of testicles - signs and symptoms in men and children

To date, there is no definite reason for the formation of this pathology of intrauterine development.

Doctors describe only the presumed factors that can contribute to its formation:

• Development of premature labor
• Hormonal failures and mismatches during gestation of a woman by
• Fetation of multiple pregnancy
• Birth of a baby with low weight
• Genetic predisposition
• Admission of a hormoneestrogen at the initial stages of pregnancy
• Mechanical obstructions in lowering the testicle( dysfunction of the endocrine glands,breasts and cords, insufficient development of the vascular pedicle)

The main and obvious sign of the cryptorchidism is the absence of a testicle in the scrotum.

• Frequent cases of carelessness of doctors in the maternity hospital to this part of the child's body, and such babies are simply discharged from the maternity home without the diagnosis of
• . For this reason, after a certain time, complications can occur that cause great discomfort in the process of growing up and turning a boy into a man
• Therefore, it is worthwhile to independently examine the genitals of your baby so as not to miss this developmental defect of

. If you list the symptoms of pathology, then these are the following signs and sensations:

• In moshnke not is palpated one or both testes when feeling
• On examination, the testicle can be felt in the thigh, groin area and even in the root area of ​​the ( in the non-specific and not correct places)
• May disturbpain in the abdomen of the pulling character

It is worth knowing that in some cases even turning to the doctor on time, this does not guarantee the elimination of pathology, but it can not be left without attention.

The problem is that when the testicle is in the abdominal cavity, it can lead to the development of immune reactions of the body. To prevent this situation, you need to contact a specialist in the early period.

Children's cryptorchidism

Children's cryptorchidism

This pathology, if present, is diagnosed precisely in early childhood, and ideally even in the hospital when the baby is born. The cryptorchidism has various forms, we will list them.

Depending on the intended cause, the following are distinguished:
• The primary form of cryptorchidism at birth the child does not have a testis in the scrotum
• The secondary form of cryptorchidism-at the egg-birth of was palpated in the scrotum, but eventually it ceased to be probed for any reason,for any reason
On features of an abnormal position of a testicle distinguish:
• False cryptorchidism-when at the child the muscular tone is raised, eggly is pinned, and at a palpation it can be loweredwith the fingers
• The true cryptorchidism-egg is absent and there is no possibility to feel it and lower it
• The -raised egg is this phenomenon is associated with a lag in the development of the spermatic cord, which "pulls" the egg up
• Ectopia of the egg-with this egg is in an uncharacteristic area( under the skin in the groin area or in the perineal region) and can not be dropped into the scrotum when probing

. At the location of the testicle:
• Abdominal-when the testicle is located in the abdominal cavity
• The inguinal-testis is defined in the inguinal canal

Why does one child have one testicle bigger than the other?

Why does one child have one egg more than the other?

• It should be noted that all paired human organs are not identical and identical in size
• . Male testicles are no exception and their asymmetry is anatomically caused. This means that a small difference in shape or size is a normal state
• However, if the dimensions are dramatically different, with the situation accompanied by pain or redness, the discomfort
• Be sure to consult a doctor, since this condition may be due to the development of the disease or the presence of a hernia

False cryptorchidism

False cryptorchidism

• With this pathology, the testicle, which was normally lowered into the scrotum at birth, is drawn into the inguinal canal under the contraction of the musculature. An experienced specialist can help in lowering the testicle without surgery
• There are cases of retracting the testicle even at a fairly mature age, but this is absolutely not dangerous to health and not has an effect on the reproductive function of a man.
• The testicle is a complete organ. In some cases, the testicle may be drawn under the influence of low temperatures or when the child feels fear.
• This phenomenon is temporary. The reason for this can also be an overly developed muscle that lifts an egg in a child. After 8 years this hypertonus can disappear on its own
• If you do not find the eggs in of the newborn before 12 weeks of life, then this case is not a false cryptorchidism , since the muscle that lifts the egg starts to function only from that age

What to do,if the testicle of a newborn boy has not descended into the scrotum? Treatment cryptorchidism

Treatment of cryptorchidism. Operation with cryptorchidism in children

Treatment of this pathology can be both conservative and with the help of surgery.

• With conservative therapy, , the endocrinologist , deals with this issue. More often similar treatment is appointed or nominated at bilateral not a drop of testicles. The doctor appoints a number of hormonal drugs and a complex of vitamins to strengthen and maintain the child's body.
• When the cryptorchidism is false, an experienced doctor, along with conservative therapy, can lower the testicle into the scrotum with the help of palpation without surgery.

The operation for cryptorchidism in children

• The method of treatment of cryptorchidism with the help of surgery is allowed only at the age of a baby over 1 year old. Up to a year, this operation is not carried out because the testicle during this period can descend independently
• The operation for ovulation is called orchidosis .To date, it is possible with the least damage to tissues with the help of endoscopic equipment
• It does not require extensive incisions and sutures. This operation is performed by local anesthesia and does not last more than 2 hours. At the same time, the child is not in the hospital for a long time and is discharged after 3 days, provided there are no complications.

. What to do after the operation cryptorchidism ?

What to do after the operation of cryptorchidism?

• After surgery, the recovery period is short enough and everything quickly returns to normal. The operation completely eliminates this pathology
• However, after its holding the child is recommended special gymnastics. It is also possible to prescribe massage, physiotherapy and balneotherapy
• The child is under the supervision of a specialist for two more years. In the first month the boy is examined every week. Then for half a year the examination is carried out once a month, and then once every six months

Cryptorchidism consequences of

There are a number of complications in children suffering from cryptorchidism :
• Infertility can develop as a result of belated treatment to the doctor and not proper treatment.
• Unsuscited testicular tumor formation
• Low level of male sex hormones that can develop during adulthood and puberty

Cryptorchidism and infertility

Cryptorchidism and infertility

• Infertility may result from a belated treatment to a doctor and not adequate therapy
• It's no secret, that the male testicles should be in the scrotum at a certain temperature regime of
• . In the abdominal form of , the cryptorchidism of the , they experience an increase in the temperature regimeand, as a result, the formation of spermatozoa
• is broken. Such spermatozoa are not capable of fertilization-their is inadequate, the speed of movement is slowed, and the abnormal forms of

can also be formed. In general, in such cases, the process of spermatogenesis itself is disrupted.

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