Urology


Undescended Testes

Undescended testes (cryptorchidism we testis), scrotal known as the stroke completely. Intraperitoneally descent of the testes in the scrotum normally; gubernaculum bond testis called pull down, abdominal testis pushing downward pressure is a result of interaction between nerve and Genitofemoral some hormonal and mechanical effects.

What are undescended testicles? How does it occur?

Undescended testes (cryptorchidism we testis), scrotal known as the stroke completely. Intraperitoneally descent of the testes in the scrotum normally; gubernaculum bond testis called pull down, abdominal testis pushing downward pressure is a result of interaction between nerve and Genitofemoral some hormonal and mechanical effects.

Undescended testes or are seen most frequently where the difference?

Most frequent places of undescended testes; groin, abdominal and groin-area between the scrotum. There is also an ectopic testis testis is the state of being in a place outside of the normal landing location. Or detection of non-palpable testis U1trasonograf examination, to be displayed by CT or MR
may be possible.

The incidence of cryptorchidism, how? Are there any factors that increase the incidence?

Although the incidence of undescended testes 35% in normal infants, the incidence is rising as 9-30% in premature infants. The double-sided seen a 15% incidence of undescended testes is. This twin pregnancy rate is increasing in low birth weight and prematurity.

Does the lack of testicles in the scrotum always creates problems?

No, retractile (fluctuating) testes are usually found in children aged 1-10 years old. Testes in these children have completed the normal ups, examinations or child during cold or afraid if the testes due to increased cremasteric reflexes moves towards the inguinal canal. This shall not include undescended testicles. Cremasteric reflexes are needed to whether retractile this time because it is weak in new born children. However, undescended testes or suspected cases, especially if a testicle should be made without waiting for urological examination.

Testes in spontaneously without the need for any treatment?

Should be noted that 95% of 74% and premature babies born at the normal time 's in the first years of life (generally within 3 months), the testicles will descend spontaneously.

What are the problems caused by cryptorchid testicles?

Undescended testes can create two major problems. Infertility and risk of cancer development. Non-normal testicles over these problems can be seen as timely treatment (hormonal or surgical) do not have this risk, even in children.

The undescended testicle surgery (early or late) according to some research in terms of tümörleş risk with blood tests until the age 32-35'l (tumor marker) annual checks should be performed. Still have to examine their testicles, which operated intermittently, when they noticed abnormal growth or hardness should consult a urologist. Malignancy (tümörleş the) risk is 4-10 times higher than the normal testis. Lowering the surgery does not reduce the risk of developing cancer of the testis. However the fact that in the testis helps develop tumors when detected early.

Which is the exclusive method for the treatment of undescended testicles?

In undescended testes called orchiopexy most commonly used method is surgery. Made in the testes in adulthood unilateral surgery doğurtganlık (fertilization) and in bilateral surgery is 50-60% d. surgical treatment of undescended testis is done to increase the chances of fertilization. 98% success rate with orchiopexy 'dr. Laparoscopy or inguino palpable abdominal exploration is the first step in the treatment of testicular not be even.

When surgical treatment should be done?

The ideal time for treatment of undescended testis is 1-2 years old.

Is there any treatment other than surgery?

As hormonal therapy; to be divided into several doses during two to four weeks from 5000 to 10,000 units of human chorionic gonadotropin hormone (hCG) and / or with or luteinizing hormone analog comprising the use relasing factors alone. Often in large babies 6 months of hormonal therapy can be initiated. Success rates vary between 6-70%.

What is your advice to families with children?

Even as a child looks normal external appearance of the genitalia, families manually presence of both testes in the scrotum should be felt by physical examination. If in doubt, consult a urologist.