|
ISSN 0973 - 0958
Genital Problems in
Children
Absence of Testis from
Scrotum
Circumcision in Children
Acute Swelling and Pain
in Scrotal Region
Translate this page
ABSENCE OF TESTIS FROM SCROTUM
Reasons for correction?
There are a number of reasons why a testis in an abnormal position must be brought down to the scrotum. The best results are achieved if the surgery is finished by the age of 1 -1 ½ years . The reasons for operation are :
When the testis is in an abnormal position its temperature remains higher than in the scrotum by 1 degree Farenheit. Just a small
There are a number of reasons why a testis in an abnormal position must be brought down to the scrotum. The best results are achieved if the surgery is finished by the age of 1 -1 ½ years . The reasons for operation are :
When the testis is in an abnormal position its temperature remains higher than in the scrotum by 1 degree Farenheit. Just a small
difference alters the
function of the organ
- making of sperms. The process of making sperms in the testis is complicated and involves many stages. It has been proved that the function begin to deteriorate rapidly after 1and half years if the testis is not in its normal position. By 5 years of age, the tubule producing sperms are reduced by half and the greater the age of the child when testes is brought down, the worse is the function that will be life long. This is directly related to the fertility in terms of number and quality of sperms. The chances of such a male to father a child later in life are very much reduced. In fact, even though there may be an undescended testis on only one side, yet, it affects the unction of both sides. It has been shown that even in those boys whose defect has been corrected by the right age still have a 25% chance of infertility.
In boys with undescended testes, the testis is usually found to be in the inguinal region. In this abnormal position, the boy is more likely to injure the testis while playing, fighting, falling. Due to direct impact to the testis, it may rupture, cause a blood clot or smash the testis and destroy it. The incidence of trauma to the testis in these boys is far more than that in boys with a well descended testes.
An undescended testis is not fully down and fixed in position, and hence can move from above downwards, as well as side to side. Since the testis is preceeded by its vesels and the vas there can be a twist of the testis on its vessels - called torsion and this can be dangerous. During torsion, the twist can cut off the blood supply to the testis and cause an infarction and death of the testis. The testis in such a case will have to be removed permanently. This will affect not only the function of the same side but is also found to adversely affect the opposite side testis function.
Associated with an undescended testis, there is a high incidence of a hernia almost 60 - 70% cases. Therefore to bring the testis down and to achieve an adequate length, the hernial sac needs to be separated from the cord structures and ligated.
In later life, the chances of developing a cancer of the testis is 20 times higher in a boy with undescended testis, than one with both descended testes. Also higher the initial position of the testis, the more the chances of the malignancy. The importance of this observation is that in cases with treated boys with the testis in the scrotum, in later life one side testis starts growing larger than its counterpart, an immediate suspicion is aroused, and a biopsy of that testis needs to be done and if proved positive for cancer, that testis can be removed and other treatment given to control the spread. However, if the testis is in the abdomen, and left untreated, the testis will grow and become cancer and the spread will occur without anyone realizing till it may be too late to treat such a man.
The last but not the least reason for bringing and fixing the testis in normal position is cosmesis - a boy with no or a single testis is the target of jokes, fun and teasing. This will make him extremely conscious of the anomaly and have a psychological effect and thus the importance of correction. In cases of absent testis on one side, later - a prosthesis can be inserted after measuring the size of the opposite testis.
In boys with undescended testes, the testis is usually found to be in the inguinal region. In this abnormal position, the boy is more likely to injure the testis while playing, fighting, falling. Due to direct impact to the testis, it may rupture, cause a blood clot or smash the testis and destroy it. The incidence of trauma to the testis in these boys is far more than that in boys with a well descended testes.
An undescended testis is not fully down and fixed in position, and hence can move from above downwards, as well as side to side. Since the testis is preceeded by its vesels and the vas there can be a twist of the testis on its vessels - called torsion and this can be dangerous. During torsion, the twist can cut off the blood supply to the testis and cause an infarction and death of the testis. The testis in such a case will have to be removed permanently. This will affect not only the function of the same side but is also found to adversely affect the opposite side testis function.
Associated with an undescended testis, there is a high incidence of a hernia almost 60 - 70% cases. Therefore to bring the testis down and to achieve an adequate length, the hernial sac needs to be separated from the cord structures and ligated.
In later life, the chances of developing a cancer of the testis is 20 times higher in a boy with undescended testis, than one with both descended testes. Also higher the initial position of the testis, the more the chances of the malignancy. The importance of this observation is that in cases with treated boys with the testis in the scrotum, in later life one side testis starts growing larger than its counterpart, an immediate suspicion is aroused, and a biopsy of that testis needs to be done and if proved positive for cancer, that testis can be removed and other treatment given to control the spread. However, if the testis is in the abdomen, and left untreated, the testis will grow and become cancer and the spread will occur without anyone realizing till it may be too late to treat such a man.
The last but not the least reason for bringing and fixing the testis in normal position is cosmesis - a boy with no or a single testis is the target of jokes, fun and teasing. This will make him extremely conscious of the anomaly and have a psychological effect and thus the importance of correction. In cases of absent testis on one side, later - a prosthesis can be inserted after measuring the size of the opposite testis.
TOP SEARCH TERMS
Genital Problems Specialist
Answer
Disclaimer:
The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
copyright ©2011 website design & development by Levioza
