Hidden testes

Hidden testes's disease overview

What is

hidden testes?

During the fetus, two testicles are located behind the two kidneys. When the fetus was 8 months old, both testicles moved from the abdomen through the groin and then down to the scrotum before the baby was born. The hidden testes are the situation where one or both testicles do not move down the scrotum but lie in the abdomen or just down the scrotum. Usually only one testicles are affected but about 10% of children have both testicles.

The incidence of testicular hidden in boys is about 3-4% in boys at birth, this rate is higher than in mild birth, premature birth, twins. P>

In many cases, the testes will automatically move down the scrotum before the child is 3 months old. If the testes are not in the scrotum until 6 months of age, it is difficult for the testicles to automatically go down and need to be treated. The hidden testes are often detected in children with endocrine disorders, birth defects at birth or genetic abnormalities, but many children are born with hidden testicles but do not identify the cause. .

Hidden testes are usually smaller than usual, the parenchyma is usually soft. Research by Anne Suskind et al. Hidden can affect sperm causing infertility. If the patient only has a testicle on one side, it is still likely to have children but there are many risks due to the risk of hidden testicular cancer and many other risks.

In case the patient with testicular hidden testes on both sides, the risk of infertility is very high. These people often have semen test results without sperm. Even, there are even people who cannot have sex due to serious hormonal shortage. These men are often weak, greatly affecting the lives, activities and psychology of patients. In addition, hidden testes often coordinate with other birth defects to increase the risk of infertility for patients.

In addition, children with hidden testes if not treated may have risks such as testicular cancer, inguinal hernia, testicular torsion, testicular injury or psychological damage due to not not There is only one testicle under the scrotum.

There are two hidden testicles:

Hidden testes are touched: Touching the testes in the groin, spring testicles.

Hidden testes are not touched: testicular in the deep groin hole, in the abdomen, no test testicles.

Hidden testes and testicles are two terms that are often confused with each other:

Hidden testes: The testes are not in the scrotum but is located along the path of the testes (in the abdomen, deep groin hole, groin, shallow groin).

Petal testes: After leaving the shallow inguinal hole, the testes go to another position without the scrotum (Biology floor, inguinal ligament, thigh weight). 80% of cases occur on one testicle, the size and function normally.

Causes of Hidden testes's disease

The movement from the abdomen to the scrotum of the testes is affected by many mechanisms. If these mechanisms are affected, the testes will not reach the scrotum and cause hidden testicles.

The common causes of hidden testes are:

Hill-pituitary-pituitary-gland disorders: The pituitary insertion causes Gonadotropin deficiency to cause hidden testes and small penis.

Testosterone synthesis: due to enamel deficiency 17α-hydroxylase, 5α-Reductase, ... making the testes not develop normally.

A reduction syndrome of androgen receptors: Due to the reduction of the perception of androgen receptors, even though it is a boy, the development of male sexual functions affected, including the decline of testes.

estrogen also affects the movement of the testes to the scrotum: Mother fetus male using diethylstilbestrol or anti -Androgen drugs, the fetus is at risk of hidden testes. P>

Abnormal development of testicular ligament: Making the testes hovering on the moving line, not down to the scrotum.

Mechanical factors that hinder the movement of the testes such as: The circuit of the testicle is short, fibrosis in the inguinal tube area, ...

Symptoms of Hidden testes's disease

Testicular symptoms hidden in boys: Not visible or touching the testes in the normal position in the scrotum

Symptoms hidden testes in adults :

The patient touches himself in the scrotum without testes or touching the tumor with a tumor.

underdeveloped scrotum, the higher the testicles, the less developed scrotum.

Patients only touch the testicles. This condition may be:

Testicular shrinkage: The testes move up and down between the scrotum and groin, which can be easily returned to the scrotum when visiting. This is not abnormal and the cause is due to the scrotum reflex.

The testicles go up or the hidden testicles: that is, the testicles return to the groin and cannot use the hand to down the scrotum.

People at risk for Hidden testes's disease

There are many factors that can increase the risk of hidden testes, including:

Low birth weight: Nearly 100% of all boys weighing less than 0.9 kg at birth will have hidden testicles

Premature birth: Hidden testes usually occur in about 3% of boys born monthly and about 30% of premature babies

The family history is hidden by the testicles or other genital development issues

Fetal disease prevents growth, such as Down syndrome or abdominal disability

Mothers use alcohol during pregnancy, smoking directly or inhaling smoke, obesity, type 1 diabetes, type 2 or gestational diabetes

Parents are exposed to pesticides

Prevention of Hidden testes's disease

Hidden testes are influenced by many factors, including those that can be prevented as when pregnant mothers avoid diethylstilbestrol or not use anti -androgen preparations.

For boys who are light weight, premature birth, twins, parents should pay attention to checking while changing diapers and bathing to see if the baby has hidden testicles or not to take the child away Early treatment. In all cases, a boy is discovered hidden by testicles, parents need to take their children to the doctor for diagnosis and early treatment, avoiding the risk of infertility and cancer of the testes as well as other complications. >

When your baby reaches puberty, parents should talk about physical changes that may occur and explain how to self -test testicular self -test for children for testicular examination is an important skill. weight to early detect tumors.

Diagnostic measures for Hidden testes's disease

Clinical

Patients can touch themselves but do not see the testes under the scrotum or feel in the inguinal tube with a tumor emerging

Examination of the scrotum area: The less developed scrotum, the higher the testicle, the less developed scrotum. In about 80% of cases, the doctor may touch the testes above in the inguinal tube. However, the testes are hidden in the abdominal or deep groin when the examination does not touch the testes.

Clinical:

Abdominal ultrasound, abdominal cutting or abdominal laparoscopy: are low to high surveys to determine the exact position of the hidden testicles. In addition, other testicular abnormalities can be detected such as testicular tumor, testicular calcification, ...

Chromosomes testing: Systematically conducted to detect unknown sex cases.

The test of HCG: is a test used to determine whether the testes are available or not in the case of both testicles that are not touched.

Hormonal tests: LH, FSH, Prolactin, Estradiol and Testosterone.

Tumor indicator tests: αFP, β-HCG should be done to detect malignant cases.

Hidden testes's disease treatments

Need to detect early and treat before 2 years of age.

If the testicles can be touched in the inguinal tube, the testes usually move down without treatment. If the child is 6 months old and the testes still do not move down itself, may need some interventions.

Besides medical treatment with drugs, it is possible to treat testicular hidden testes with surgery:

Surgery is indicated if medical treatment is not effective, ensuring the principles:

Put the testicles out of the peritoneal layer, peritoneal.

Surgery, dissection, prolonged testicular stem to transfer testicles into the scrotum.

Surgery to treat hidden testicular disease is a conservation surgery, so it should be performed when experienced surgeons.

The best surgery time is when children are 1-2 years old.

For adult men, it is necessary to perform surgery immediately if:

The testes have not been able to have cancer, the testicular surgery, combined with hormonal balance

Testicular cancer is needed to remove testicles, dredging lymphadenopathy in combination with anti -cancer treatment.

See also:

Structure, testicular weight & spermatic mechanism

Endoscopic surgery to treat hidden testes >

Signs of testicular children

Peticulous testicles can give birth?

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