Cryptorchidism is commonly known as hidden testicles. I believe that many men are familiar with this disease, especially in modern society, where the incidence of this disease is relatively high, which makes most men troubled by it. Cryptorchidism should be taken seriously by men, and once diagnosed, it must be treated in time. So, what are the symptoms of cryptorchidism? 1. Infertility Cryptidysty can cause damage to reproductive cells. Early surgical treatment is needed to fix the testicles to the scrotum to reduce the risk of reduced fertility. The earliest postnatal histological abnormality of cryptidysty is the dysplasia of interstitial cells that can be observed in the first month after birth. Unilateral cryptidysty after puberty should be removed because it is prone to malignant and torsional changes in the future, and most testicles have lost their fertility. 2. Malignant change Children born with undescended testicles are at risk for testicular malignancy. The incidence of germ cell tumors in men with a history of occult testes is about 40 times higher than in the normal population. The location of the undescended testicles affects the relative risk of testicular tumors, with the higher the location, the greater the risk of malignancy. Half of the intra-abdominal testes will develop malignancy. The most common type of testicular tumor arising from the testicles is a seminoma. The incidence of carcinoma in situ in men with occult testes is 1.7%. 3. Hernia 90% of patients with undescended testes have a patent processus vaginalis. The processus vaginalis usually closes after testicular descent and within the first month after birth. A patent processus vaginalis is associated with a higher risk of epididymal abnormalities. The clinical significance of a patent processus vaginalis is that it can affect the efficacy of hormonal treatment for cryptic testis. 4. Testicular torsion Cryptotestis may have abnormal attachment of the gubernaculum, levator testis, or tunica vaginalis, which predisposes to testicular torsion. Although undescended testicles rarely torsion, testicular torsion should be considered in patients with abdominal or groin pain accompanied by lateral scrotal hollowness. |
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