Pending testicle: causes, symptoms and treatment
Unrouted testicle under the protection of the suspended testicle is one of the problems that occurs if the testicle does not fall to the place prepared for it in the scrotum, which is located before the birth of the male behind the penis. It suffers from 2 – 5% of the total male births of the testicle suspended in one of the testicles, or both of them, and this problem is common in premature birth, or before completing 37 weeks of pregnancy. The testicles are formed in the abdominal cavity during the period of the development of the fetus, and in the last two months of natural burden, the testicle gradually leaves the abdominal cavity, and through a corridor similar to the tube in the groin channel, it is concentrated within the scrotum. In cases of a suspended testicle, the testicular development process stops at a certain stage, which means that the testicle will not be seen, or observed at the place that is expected to be in it, ie within the scrotum. In cases where one testicle does not decline, or both, the problem is solved on its own during the first months of the baby’s life, but if the child suffers from the disappearance of the testicle, the problem is dealt with in this case by surgery during which the testicle is transferred in the scrotum. Symptoms of the suspended testicle are discovered that the condition of the suspended testicle undergoes the first physical examination immediately after birth, and in the case of the suspended testicle problem, you should consult a doctor to find out which periods the doctor should see for re -examination. In the event that the problem continues until the child reaches the fourth life of life, it means that the condition must be treated as soon as possible to reduce the possibility of complications in advanced age stages, such as: infertility or testicular cancer. Some children may suffer from the disappearance of the testicle at a later stage of their lives, in some cases where the testicle drops during the birth process, and this may indicate the following: Wandering test: Where the testicle moves back and forth between the scrotum and inguinal bag, and the doctor can return it manually and easily. Testicle rises: The testicle has increased in the ice and in this case cannot be easily returned to the scrotum. Causes and factors of the risk of suspended testicle remain unknown, as it may be a union for various factors, such as the following: genetic factors. Mother’s state of health. Hormonal disorders. Deviations from nervous activity. Factors can increase the risk of suspended testicular infection and include the following: Low weight – LBW. Princess (Premature Birth). Family history is a suspended testicle, or other problems associated with the proper development of genitals. Don -Syndrome, or defects in the abdominal cavity wall. The mother drinks alcoholic drinks and smokes during pregnancy. Smoke the mother of cigarettes, or are smoking negatively during pregnancy. Mother’s infection with some kind of diabetes, such as: Diabetes Type1, Diabetes Type2 diabetes or Pregnancy Diabetes. Parents are exposed to different types of pesticides. The complications of the suspended testicle must remain at a temperature of less than the body temperature, to ensure their right work, as the scrotum provides this appropriate environment, and when the child is 3 or 4 years old, the testes passes with certain changes that influence the way the testes perform in the future. The lack of a testicle that hangs in a colder environment of body temperature can cause the appearance of many complications, such as the following: Testicular cancer begins to develop in the tissue of the testicular cells responsible for sperm production (sperm), and there is no exact cause of these cells to turn into cancer cells, but men who have been lived in their childhood. Fertility problems increase the possibility of men who suffered in their childhood through the testicle with some problems, such as: low sperm number and quality, and infertility. Additional complications can also occur if the testes are present in an abnormal place, or if the testes disappear, and include the following: testicular torsion. Immediately this can lead to a loss of testicle. A damage in the testicle if the testicle occurs in the inguinal canal, it is possible to harm the testicle due to the pressure on it of the pubic bone. The huge fraction can lead to the suspended testicle to the appearance of an Arabic fracture, and if the opening between the abdominal cavity and the guessing pass is very soft, the pressure on some internal organs in the abdominal cavity can cause a fraction in the ice. The diagnosis of the suspended testicle can easily determine whether one of the testes does not amount to the place prepared in the scrotum, and future controls are performed to determine the exact location of the testicle and detect the changes that occur in its place. In the event that the testicle is present in the inguinal, the attendance doctor may determine its location through manual allergies, and in the case of an inability to feel the testicle, a set of tests is performed; To verify the situation, as about 10% of the outstanding testic cases cannot be sensitive, we mention from these tests: ultrasound. Magnetic resonance imaging – MRI. Laparoscopy. Open surgery. Other cases should be examined if the child suffers from not going down in both testicles, the doctor calls him for a number of additional examinations to accurately determine the gender of the child. The missing testes may indicate that the genetic generation of the child is a female woman, and in this case the generation of the newborn is called the intersex. The tests that need to be performed to determine whether the phenomenon is intensexuality or not, the following: measuring the levels of different types of hormones in the blood and urine. Look at the genes responsible for determining the child’s gender. Investigating the presence of female genitals (ovaries). Pending testicle treatment The medical treatment is aimed at transferring the suspended testicle and returning it to its place within the scrotum, and the treatment is directed in the early stages to reduce the risk of complications, such as the following: The surgery is treated with the condition of the suspended testicle, where the doctor needs to withdraw, and to make room with stitch cracks in the area, and the theoretical way can be used. The surgeon recommends this surgery after the child was 3 – 6 months old, and the time of surgery depends on the general health of the child and the complexity of the operation. In some cases, there may be an imbalance in the development of the testicle, so that there is an unusual texture or a dead tissue, and in such cases the surgeon removes the abnormal tissue. In the event that the child suffers from an Arabicism that accompanies the suspended testicle, the rupture during the operation itself is corrected. After the operation, the doctor follows the testicle to investigate and monitor its development over time, and the operation contains the following procedures: a physical examination. Ultrasound for the class. Investigate hormone levels. Hormonal therapy is hormonal therapy in the injection of hormone hormone led by HCGG, which helps to move the testicle to the scrotum, and this treatment is usually less effective than surgery, and can lead to adulthood at an early stage, or the above -mentioned early sexual maturity. Other treatments in the event that there is a deficit in one or two testicles in the child, due to the phenomenon of the unwanted testicle, or in the case of the failure of surgery, it is possible to consider the possibility of artificial testicle transplanting that is in the form of a small bag full of fluid within the scrotum, a process that is usually performed on a late childhood. And if the child has no testicle it works properly, the child is converted into an endocrinologist; In order to discuss future hormonal treatments; To ensure a healthy sexual development. The prevention of the suspended testicle due to the lack of knowledge of the exact cause of this problem; So there is no clear way to prevent suspended testicel infection.