Criptorquidia – When the Testicle Not Descended
The criptorquidia is a common problem among babies and happens when the testes do not descend into the scrotum, the pouch that surrounds the testicles. Normally, the testes descend to the scrotum during the last months of gestation and, if this is not the case, the baby is born without the testes in the usual place, which is easily observed by the pediatrician at birth or in the first consultations of the baby.
The doctor notes that the testis of the baby is not in the scrotal pouch through the probe of the scrotum soon after the birth of the baby. If the testicle is not there, it may still go down alone during the 1st year of life of the infant, without the need of specific treatment,but if this does not happen it may be necessary to do surgery to place the testicle in place. The surgery is fast and simple, and should be conducted before 2 years old.
Types of criptorquidia
The criptorquidia can be classified into:
- Criptorquidia bilateral: when you are missing both testicles in the scrotum, which if not treated can make the man sterile;
- Criptorquia unilateral: when you are missing a testicle to one of the sides of the scrotum, and can cause decreased fertility.
The criptorquidia does not present symptoms, however, may arise cases of orchitis, a infection of the testis. Some consequences of the criptorquidia are infertility, hernia in the testicle and the appearance of testicular cancer and to reduce these risks it is necessary to position the testicle in the correct place even in childhood, in the early years of the life of the baby.
Treatment to reposition the testicle
The treatment of criptorquidia can be done with hormone therapy through testosterone injections or hormone chorionic gonadotropin, that help to mature the testicle causing it to drop into the scrotum, which resolves to half of the cases.
In cases in which the use of hormones does not solve the problem, it is necessary to resort to surgery to free the testicle from the abdomen. This procedure is mainly used in the criptorquidia unilateral.
When the absence of the testes is detected in late stages, the removal of the testes may be necessary to avoid future complications for the individual, making it sterile.
Because the testicle of the baby never came down
The causes of criptorquidia can be:
- Hernias in the place where to descend the testicles from the abdomen to the scrotum;
- Hormonal problems;
- Low weight of the baby;
- Premature birth;
- Down syndrome;
- Contact with toxic substances such as pesticides.
Some of the risk factors of the mother such as obesity, gestational diabetes, type 1 diabetes, smoking and alcohol in pregnancy can lead to the appearance of criptorquidia in the baby.