Cryptorchidism

(Undescended testicles)

Cryptorchidism is the absence of Deszendierens one or both testicles in the scrotum. This is usually accompanied by an inguinal hernia. The diagnosis is made by clinical examination and occasionally by laparoscopy. The treatment is surgical.

Cryptorchidism affects about 3% of newborns and up to 30% of premature babies; two thirds of the testes nichtdeszendierten deszendieren spontaneously within the first 4 months of life. For example, 0.8% of male infants require treatment.

Cryptorchidism is the absence of Deszendierens one or both testicles in the scrotum. This is usually accompanied by an inguinal hernia. The diagnosis is made by clinical examination and occasionally by laparoscopy. The treatment is surgical. Cryptorchidism affects about 3% of newborns and up to 30% of premature babies; two thirds of the testes nichtdeszendierten deszendieren spontaneously within the first 4 months of life. For example, 0.8% of male infants require treatment. 80% of testicular highs are diagnosed at birth. The remaining cases are diagnosed during childhood or early adolescence, the cause is usually an ectopic Gubernakulumanhängsel. Noticeable they are for a somatic growth. Pathophysiology Normally, the testicles develop in the seventh and eighth week of pregnancy and remains wrapped in internal ring when the testes using a thickened mesenchyme (gubernaculum) moved into the scrotum until week 28. The start of the descent is caused by hormonal (z. B. androgens, Müller shear inhibition), physical (regression of Gubernakulums, intra-abdominal pressure) and ambient factors (eg. B. maternal contact with estrogen-containing or anti-estrogen-containing substances) affected. A real nichtdeszendierter testicle remains lying along the Deszensusweg in the inguinal canal or – more rarely – found in the abdominal cavity or retroperitoneal space. An ectopic testis is one who deszendiert normal by the outer ring, but to an abnormal site that is outside the normal Deszensusweges (z. B. suprapubisch within the superficial inguinal ring within the perineum or along the inner side of the thigh). Complications Nichtdeszendierte testicles can cause reduced fertility and an increased risk of malignancy, especially in intra-abdominal position. In patients with only one testicle nichtdeszendierten but 10% on the normal side develop cancer. In untreated cases of intra-abdominal testes it can to testicular torsion and thus come to the acute abdomen. Almost all newborns with a nichtdeszendierten testicles at birth also have an inguinal hernia (open processus vaginalis). Etiology undescended testicle is almost always idiopathic. Approximately 10% of cases are bilateral. In phenotypic boys with bilateral non-palpable, nichtdeszendierten testicles at birth, especially if they are associated with hypospadias, a suspected female virilization by a congenital adrenal hyperplasia should be expressed. Symptoms and complaints At approximately 80% of cases the scrotum at birth empty, in other cases, the testes may be palpable in the scrotum at birth, but then seems to move with the linear growth due to an ectopic Gubernakulums up. This keeps him from getting deszendieren on its natural path into the scrotum. An inguinal hernia rarely causes a noticeable mass, but the obvious process is often detectable, especially in infants – but less frequently in those with ectopic undescended testicles. Cryptorchidism © Springer Science + Business Media var model = {thumbnailUrl: ‘/-/media/manual/professional/images/561-cryptorchisim-s155-springer-high_de.jpg?la=de&thn=0&mw=350’ imageUrl: ‘/ ? – / media / manual / professional / images / 561-cryptorchisim-s155-springer-high_de.jpg lang = en & thn = 0 ‘, title:’ cryptorchidism ‘description:’ u003Ca id = “v37897640 ” class = “”anchor “” u003e u003c / a u003e u003cdiv class = “”para “” u003e u003cp u003eDieser patient has cryptorchidism of the left testicle

Health Life Media Team

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