#Happy Winter Break #Healthy New Year ##儿研所儿医说 #
After the birth of some children, parents find that their children's scrotum is empty, and they have not touched the eggs inside. This disease is called "cryptorchidism".
Today I will talk to you about it, what is cryptorchidism and how should it be treated?
What is Cryptorchidism?
Cryptorchidism is one of the most common congenital malformations in pediatric urology. The study of cryptorchidism has been around for two hundred years. As early as 1877, Scottish physician Thomas Annandale successfully performed the first testicular descent surgery to treat cryptorchidism.
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Most children with cryptorchidism have testicles located in the inguinal canal and outer ring, and some are located in the abdominal cavity or behind the peritoneum; a small number of children's testicles are located on the inner thigh or in the suprapubic area. Therefore, children who are diagnosed with cryptorchidism need to have a testicular ultrasound to determine the location and development of the testicles.
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Causes of cryptorchidism
Why cryptorchidism occurs is still inconclusive, but the following reasons may also cause cryptorchidism:
When the mother is seven months pregnant, the testicles descend from the posterior peritoneal waist through the inguinal canal to the scrotum, and during the descent, the testicles stay in a position where they should not stay, forming an abnormal testicular descent.
Abnormalities can be caused by abnormal lead causes, testosterone receptor insensitivity, abnormal maternal hormone levels, or local environmental abnormalities.
The harm of cryptorchidism is not small, and it is one of the important reasons for male infertility. Not only does it affect fertility, but it is also prone to malignancy.
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Treatment of cryptorchidism
So how to treat it?
Children with cryptorchidism may also have the testicles descending into the scrotum within one year of age, and the testicles may undergo irreversible physiological changes after more than 2 years of age. Therefore, treatment should be actively carried out within the age of 2 years, and the best time for surgery is currently recommended to be 6 months to 18 months, and not more than 2 years old at the latest.
At present, open surgery or laparoscopic minimally invasive surgery is mostly used. Most children have surgery that can be done in one go, and a small percentage of children need staging surgery due to poor development. Most children are very good after surgery.
There are also hormones used to treat cryptorchidism, but the success rate of hormone therapy for cryptorchidism is low and there are many complications, and it is not routinely recommended clinically.