There is a lump under the testicle

If you accidentally find a small lump growing under your testicle, you should go for a detailed andrological examination. Never ignore small problems. Many small problems are precursors to complex diseases. If you don’t get medical treatment in the first time, many big problems will arise. In this case, you can take medication after diagnosis, and don’t undergo surgery unless it is absolutely necessary.

If a boy with cryptorchidism has a mental burden due to frequent examination of his sexual organs, or if his testicles do not descend after hormone treatment, it may lead to sexual psychological disorders. The parents of the child may also feel frustrated due to repeated examination of the scrotum and testicular position of the child. Doctors must tell the parents of the child about the nature of cryptorchidism and its impact on sexual function in adulthood so that they have a correct understanding.

Ectopic testicles

When the testicles descend from the inguinal canal, they may not descend into their normal position in the scrotum, causing ectopic testicles. Ectopic testicles are rare, and their clinical significance and treatment principles are generally the same as those of occult testicles. If the diagnosis is clear, surgical treatment should generally be considered, because androgen therapy is generally ineffective. Orchiopexy as early as possible before puberty can usually restore normal testicular function.

No testis

Congenital bilateral agenesis (absence of testicles) is extremely rare. Its cause may be that the fetal testicles are destroyed by some toxin after the fetal sex differentiation. Treatment methods include: (1) Replacement therapy: testosterone propionate is applied from adolescence, intramuscularly three times a week until the external genitalia develop normally; thereafter, the dose can be reduced to 10 mg, three times a week: or oral (sublingual) methyltestosterone 16-45 mg/day. (2) Surgical treatment: implanting a pseudotesticle in the scrotum (silicone rubber or silicone rubber capsule filled with silicone, the latter is better) to reduce the patient's "body image" and psychological disorders. The testicle is taken from his fertile brother.

Polytestis

It refers to the number of testicles exceeding 2. This disease was first confirmed in 1670. It is generally believed that there are no more than 3 testicles, with more on the left side than on the right side. Extra testicles rarely develop normally. Testicles that exist ectopically and atrophy for a long time may become malignant. Therefore, extra testicles should be surgically removed as soon as possible.

Paretic

It refers to the fusion of the two testicles, which can occur in the scrotum or in the abdominal cavity. Few testicles can survive due to other serious congenital malformations.