Cryptorchism: symptoms, diagnosis and treatment

Content

  • Symptoms of cryptorchism
  • Diagnosis and treatment of cryptorchism


  • Cryptorchism is a fairly common developmental anomaly in children, in which the testicles did not fall into the scrotum.

    Immediately after birth, cryptorchism occurs in 10% of boys, to
    The first year in 70% of them there is a spontaneous omission of eggs in
    Midge.



    Symptoms of cryptorchism

    Cryptorchism: symptoms, diagnosis and treatment
    At the heart of Cryptorchism
    Lies the dysfunction of the sexual system as a whole, expressed in the primary
    Defeat of testicles and hidden function failure
    Hypothalamic-pituitary system. Egg delay can occur by
    ways of his physiological lowering (in the retroperitoneal space -
    abdominal cryptorchism or in the groin canal - groin cryptorchism) or outside
    of this path (ectopia of eggs). With ectopia, the testicle is located under the skin
    crotch, abdominal wall or hips, etc.

    With false cryptorchism there is no constant fixation
    Eggs in the scrotum. In the absence of one or both eggs noted
    tightened scrotum, the missing egg manages, as a rule,
    palpate through the abdominal wall, reduce in the course of the inguinal canal or
    In the scrotum. Sometimes determine the testicles.

    Perhaps a combination of cryptorchism with groin hernia.

    Heavy complications of cryptorchism are malignant
    rebirth of eggs, stew and infringement of an unopporn egg, in
    African age - hypogonadism and infertility.

    Uniquely the causes of cryptorchism are not defined. There are several
    The reasons for this state. Cryptorchism of the father or brother increases the risk
    the emergence of pathology, which indicates the fate of the genetic
    Mechanism. Another important reason for the eaging of the egg - hormonal
    imbalance in the body of the mother and fetus by the third trimester of pregnancy.

    Among the factors of increasing the risk of cryptorchism are allocated:

    • Low birth weight (below 2500 g.);
    • Application by the mother of estrogen during the first trimester of pregnancy;
    • Multiple pregnancies (twins, triple);
    • Premature childbirth;
    • Reduced growth rates and weight at birth.



    Diagnosis and treatment of cryptorchism

    The fundamental point in the diagnosis of cryptorchism is inspection
    Urologist (child urologist), pediatrician. In order to distinguish
    Cryptorchism from the congenital absence of eggs can be conducted
    Magnetic resonance tomography or computed tomography abdominal
    cavity and small pelvis. If the Egg is not defined in Pakhov
    Canal, Laparoscopy can be conducted - inspection of the internals of the abdominal
    cavities using endovideosurgical equipment (introduced through
    small hole).

    Cryptorchism treatment may be therapeutic (hormonal) or surgical.

    Treatment of cryptorchism operational with complicated cryptorchism and
    with ineffective hormonal treatment. Hormonal treatment starts with
    Breast-age.

    Given the possible complications from ignoring an uninterrupted
    Yachka. It is necessary to carry out a weighted treatment of identified cryptorchism
    over the age of 6 months. It is also necessary to figure out whether it will change the early
    Treatment for a better situation that exists with frequent education
    malignant rebirth and decrease in fertilizing ability,
    caused by cryptorchism.

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