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Cryptorchidism is a condition that occurs in newborns when one or both male testicles do not descend into the scrotal sac. On average, every tenth case includes a two-sided issue with nuclei. Cryptorchidism is commonly seen in premature infants, because, for the seventh month of fetal development, the testes do not descend from the abdomen into the scrotum.
The problem with the descent of the testicles into the scrotum can occur for several reasons. While prematurity is one of them, other reasons may also include:
- hormonal disorders,
- spina bifida,
- break the nuclei – reflex in which the nucleus voluntarily moves from the scrotum to the groin,
- the absence of testicles.
Cryptorchidism affects approximately 3 to 5 percent of male infants, and the addition to the above reasons, this condition can also occur due to genetics. Rare cases indicate that the appearance of an inguinal hernia may increase the risk of a problem.
Kernels that do not go into the scrotum (are not palpable in the scrotum) are the most common symptom cryptorchidism. However, for every child, the symptoms may be different. Signs of cryptorchidism may also resemble other diseases and health problems, which is why it is necessary to consult a doctor.
The treatment cryptorchidism
The treatment of the problem with the descent of the nuclei into the scrotum sometimes does not require special procedures. Most cases cryptorchidism, usually disappears after three months of age, at the latest by a year old, without any intervention in a natural way. They pass through the inguinal canal to the inner corridor, which runs along the abdomen near the groin to the scrotum.
Specific treatment in case of a problem with cryptorchidism is determined by the physician based on:
- the child’s age, overall health and medical history,
- the severity of the problem,
- child’s tolerance for specific medications, procedures or therapies,
- waiting for the course of the condition.
- Hormone therapy – the administration of certain hormones may stimulate the production of testosterone, which helps the testicles descend into the scrotum. But it is not routinely used in the treatment of cryptorchidism.
- The surgical procedure – a procedure to repair, is to locate the kernel, which does not come down, and then locating it in the scrotum. This operation, called Orchiopexy is usually carried out between six and eighteen months of age, and is effective in most cases.
Dealing with the problem of which is cryptorchidism is necessary to ensure the proper functioning of the child in the future. This is required to prevent:
- infertility – usually in cases of double-seated the nuclei outside the scrotum,
- the risk of cancer of the testicles, which increases significantly especially in aged 30 to 40 years,
- inguinal hernia – abnormal nuclei placement, weakens the area of the lower abdominal wall or inguinal canal, where they can be of the intestine,
- the nuclei torsion – painful the nuclei torsion, can reduce blood flow to the testicles,
- psychological consequences associated with an empty scrotum.