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An undescended testicle is a condition in which the testicle does not move into its correct position in the scrotum behind the penis, occurring before a boy is born. An undescended testicle often affects fertility by reducing the quantity and quality of sperm. So can men with undescended testicles have children?1. Can an undescended testicle have children?
Normally, when the boy is still a fetus in the mother's uterus, the two testicles will now be in the abdomen. Towards full term, the testicles descend gradually toward the scrotum in separate tubes connected to the abdomen. Immediately after a baby boy is born, in most cases both testicles will have descended to and in the scrotum. However, in some men, the testicles have not yet reached the scrotum, called undescended testicles.
This condition often occurs when one testicle has not descended, even when both testicles are ectopic. An undescended testicle may remain in the abdomen, or may not descend completely, or may descend when ascending but not reaching the scrotum.
Because the temperature in the abdomen is higher than the temperature in the scrotum, most sperm will not survive at the high temperature in the abdomen. Specifically, sperm in the abdomen will be reduced in quality, die, and can no longer be produced. Furthermore, the long stay in the testicles in the abdomen is more likely to lead to cancer. Therefore, the patient needs to have surgery to bring the testicle into the scrotum as soon as possible to save the ability to have children.
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2. How to cure undescended testicles
The goal of treatment for undescended testicle is to move the testicle to its proper place in the scrotum.
For a boy born, the doctor will treat him by injecting him with hCG - a hormone of the placenta, which stimulates the testicles to move down to its correct position. The dose and duration of injection must be considered to be different for each boy. If for some reason the incorrect dose is determined, leading to an overdose, it is likely to lead to an enlarged testicle and being trapped in the tube, requiring emergency surgery, late surgery will be damaged. testicular.
For adults, early treatment reduces the likelihood of complications such as infertility and testicular cancer. However, in adulthood, the injection will not have the effect of bringing down the testicle anymore, only the way to perform an ectopic testicle surgery to bring the testicle down to the correct position and then sew the hole closed to prevent movement. backwards.
The surgical procedure for an ectopic testicle requires careful manipulation, bringing the testicle into the scrotum and suturing in the correct position. This surgery is performed with relatively small incisions and can use laparoscopic equipment.
In some cases where the testicle is underdeveloped, abnormal, or dead, the surgeon will remove testicular tissue. After surgery, the patient should be re-examined to make sure that the testicle is developing normally, is functioning properly, and is in place.
In all cases, undescended testicle should be treated before 2 years of age to prevent dangerous complications.
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