2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21
Every mother worries about her baby. As usual, most of the woman's fears are psychological in nature. But there are a number of pathologies that are detected at birth. They can be of a different nature, often there are cases of self-healing. But for sure, these pathologies require constant monitoring and control by both parents and doctors.
Cryptorchism
This word is a disease when boys' testicles do not descend at the right time. This phenomenon occurs quite often. They can pass through the canals on their own during the first year of life. If this does not happen, then their overthrow is prescribed surgically. The operation is mandatory, because if there is no descent, then the testicles will lose their reproductive function.
Physiology
Initially, the testicles are formed in the body at 6-7 weeks of life in the womb. They are located in the abdominal cavity of the fetus. Their growth and development is influenced by the level of hormones. After a period of 30 weeks, they begin to descend into the scrotum.
However, quite often there are cases whenboys testicles do not descend immediately.
Diagnosis is made immediately after birth. During the first year of life, no treatment is required, as everything can normalize on its own. If deviations are also noticeable during examination in a year, then treatment is prescribed. It is selected depending on the course of the disease and the general condition of the child.
So, it could be hormonal drugs to stimulate the development of the testicles. Surgery is also often recommended. The age of the boy for operations varies from one to five years.
Reasons
The reason for the occurrence of the disease may be different. In this list, the lack of hormones androgens and gonadotropins. In cases where the testicles do not descend immediately in boys due to their underdevelopment, treatment is carried out with hormonal drugs. This gives tangible results and promotes a quick recovery.
There are cases that in the process of past infections inside the womb, a boy develops adhesions in the channels through which the testicle moves. This is diagnosed by laparoscopy and corrected immediately.
Views
It is not uncommon that when a boy's testicles descend, one remains in the abdomen or in the canal on the way to the scrotum. This variant of the disease is diagnosed and treated in the same ways as in the case when both testicles do not descend.
Details and peculiarities of each child are revealed strictly when examined by a doctor.
Ultrasound is often used for diagnosis and treatmentstudy. This allows you to pinpoint exactly where the testicles are in boys.
Free movement
Children's body is arranged in such a way that at the slightest suspicion of danger, a protective reaction is activated. The most important reproductive organ of a man is attached to special muscles. So, the testicles in boys can be retracted when the ambient temperature changes or when touched.
In such cases, no treatment is required. The scrotum will fill up completely, as soon as the time comes for this. The fact is that her muscles also have several layers and must mature in order to provide reliable protection to the testicles.
Terms of treatment
There is a lot of disagreement on this issue. Some argue that the operation should be carried out as soon as possible after a year. The argument is that the testicle, while in the abdominal cavity, is subjected to overheating, and this may affect its further functioning. There are also observations that, being in the peritoneum, it changes shells.
Another opinion is that before the age of 5 it doesn't matter if the testicle descends a year earlier or later. That changes in their cover are a normal physiological process. And operations at an earlier age are more difficult to tolerate. According to these recommendations, intervention should be performed at 4 years.
Thus, it is clear that there is no unequivocal answer to the question of at what age the testicles descend. It depends on the heredity and physiology of each child. The main indicator in this situation is time. That is, thanthe longer the changes persist, the more surgical intervention is indicated. The observation of the baby by a specialist and parents will be of key importance. Thanks to this, it is possible to adjust the treatment at the right time and save the boy from problems in the future.
Operation
What to do if the testicle does not descend after undergoing a medical course of treatment? Surgery to correct the position of the testicles can be of two types:
- Open type - one medium-sized incision is made on the abdomen. Then they find the desired element and direct it to the scrotum.
- Laparoscopy - the operation consists of several small punctures in the abdominal cavity, special tubes are inserted into them, with the help of which the testicle is sent to the right place.
Cryptorchism in adults
Movement of one or both testicles can occur in both a teenager and an adult male. As a rule, this becomes the result of some kind of injury or illness. So, if the testicle is in the abdominal cavity for some time, then it may have to be removed. Such an organ loses its viability, while maintaining it, there is a risk of developing tumors. This is due to a violation of his blood circulation and exposure to elevated temperature.
But even if the operation was carried out on time and the testicle was saved, it is necessary to undergo regular examinations. This is necessary to identify various complications in the early stages.
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