Occult testicular surgery method

For male infants who are not yet born, it is quite common to have occult testicles. Generally speaking, the testicles of six-month-old children have not descended into the scrotum. This is a disease phenomenon, and this situation can be effectively improved through occult testicle surgery. There are many reasons for this disease. Parents do not need to worry too much. The success rate of surgery is still very high, and there are generally no sequelae after surgery. They are as healthy as normal children.

The treatment of cryptorchid 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 cryptorchid surgery. 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 outside the body. Another type is autologous testicular transplantation, which is mainly for patients with high-positioned testicles.

reason

1. Primary: Most patients have unknown causes and no family history. Only a small number have a family history of the disease. It is an autosomal recessive inheritance.

2. Secondary is relatively rare. Any disease that damages the anterior pituitary or hypothalamus can cause growth arrest. Common causes include tumors (such as cranio-pharyngioma, 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 testicular examination

The fetal testicles are damaged by some toxins. The testicles are located high in the inguinal canal and abdomen or are absent. The testicles cannot be felt during clinical examination. We should also pay attention to occult testicles and perform abdominal ultrasound monitoring in time. Other related examinations, such as MRI examinations and six sex hormone tests, are also recommended.

Diagnosis of Atesticular Disorders

Patients with cryptorchidism often come to the hospital for empty scrotum and no testicles. Some come for hernia as the main complaint, or for bilateral cryptorchidism or post-marital infertility. The diagnosis is generally not difficult. However, the distinction between cryptorchidism and agenesis, where testicles cannot be felt, should be taken seriously, because the latter does not require surgery.

Unilateral testicular agenesis is difficult to diagnose before surgery, 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 treat testicular agenesis

Once a child is found to have cryptorchidism, he or she must be taken to a regular hospital for specialist treatment immediately. Treatment methods include medication and surgery, but no matter which treatment method is used, it must be performed before the child is two years old, because pathological changes will occur in the testicular tissue of children over two years old. You should also pay attention to observe the physical changes of your child at ordinary times, and take him or her to the hospital for examination and treatment in time if you find any abnormalities.