Doctor, how does my child's scrotum look big and small on one side?
Doctor, trouble show my child, his testicles can sometimes be touched, sometimes can not be touched, what is going on?
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These phenomena are called cryptorchidism in our medicine.
What's going on with cryptorchidism? How should it be treated? A specialist will tell you the answer!
1. What is cryptorchidism?
Cryptorchidism is a problem with the testicles of small boys in the process of descending, the testicles of boys are initially in the abdominal cavity, with the growth and development of children, the testicles gradually decline in the direction of the scrotum, if there is a problem in the process of descending, at birth has not yet reached the scrotal is cryptorchidism, premature infant cryptorchidism incidence is very high. The child's testicles after birth are still likely to continue to decline, and the time of decline is mainly within 3-6 months after birth, and after 6 months, the chance of cryptorchidism continuing to decline is significantly reduced.
2. What is the harm of cryptorchidism to the body?
Cryptorchidism on children's harm, including psychological disorders, testicles are prone to twisting and damage, but the biggest harm is to cause infertility and malignancy, the testicles are men's production of sperm and male hormones, it has higher requirements for temperature, the temperature of the scrotum is about 2 degrees lower than the temperature in the abdominal cavity, which is more suitable for the testicles. Once the testicles do not reach the scrotum, stay in the abdominal cavity, groin or other places that are warmer than the scrotum, the testicles cannot develop normally, the ability to produce sperm over a long period of time is affected, and even malignant evil will occur, it has been reported that the bilateral cryptorchidism rate is greater than 70%, the untreated unilateral cryptorchidism can also be as high as 50.6%, and the abnormal development of the cryptorchidism is prone to tumors and cancers, and the probability of malignant changes in the cryptorchidism is tens of times higher than that of the normal testes, especially the cryptorchidism in the abdominal cavity.
3. What should I do if I have cryptorchidism?
Although the testicles may continue to decline in a short period of time, after 6 months, the probability of testicular decline has been significantly reduced, so those who still fail to descend to the scrotum after 6 months of life should take active treatment. Testicular descent fixation is the main method of treatment for cryptorchidism, and after 15-18 months of birth, some cryptorchidic patients have seen a decrease in testicular germ cells, and the loss rate of spermatogenesis cells after the age of three is as high as 93%. Therefore, the best age for testicular fixation surgery should be 6-12 months, no later than one and a half years.