Complications of undescended testicles if not treated early

This is an automatically translated article.

The article is professionally consulted by Master, Doctor Vo Thien Ngon - Urologist, Department of General Surgery, Vinmec Da Nang International General Hospital.
Children with undescended testicles, if left untreated, can have an increased risk of testicular cancer, inguinal hernia, testicular torsion, testicular trauma, or psychophysiological damage due to the absence or presence of only one testicle. under the scrotum

1. Subjects at risk of undescended testicles

There are many main factors that affect the likelihood of undescended testicles, including:
Weight factor: for boys weighing less than 0.9 kg the chance of having undescended testicles is 100% Premature babies: for With term babies, the incidence is about 3% and 30% is the rate when babies are born prematurely. There are people with undescended testicles or development problems of the genital organs. Children who have fetal diseases such as Down syndrome, ... that prevent growth factors on the genitals. Pregnant women who use alcohol during pregnancy, or smoke directly or indirectly, have obesity, diabetes of both types, possibly gestational diabetes. Parents are exposed to harmful chemicals found in pesticides, herbicides, and many other harmful drugs.

2. Risk of infertility due to undescended testicles

In the case of patients with undescended testicles on both sides, the risk of infertility is very high. These subjects often have no spermatozoa test results.
Even some people can't even have sex due to a serious lack of hormonal hormones. At the same time, the physical condition of men with undescended testicles is often very weak, greatly affecting the quality of daily life.
If the patient has only one undescended testicle, it is still possible to have children. However, these patients still have many risks due to the risk of undescended testicular cancer and may be associated with other congenital malformations such as testicular atrophy, orchitis, testicular torsion. Multiple birth defects increase the risk of infertility.
In addition, children with undescended testicles, if left untreated, may experience risks such as testicular cancer, inguinal hernia, testicular torsion, testicular trauma or psychophysiological damage due to the absence or only one testicle under the scrotum.

3. Treatment of undescended testicles

It can be said that surgery is considered the best method in the treatment of undescended testicles in which the technique of general anesthesia is chosen by many people.
Currently, the same technique is one of the techniques used to treat undescended testicles at Vinmec Danang International Hospital.
This is a regional anesthetic technique that is performed by introducing local anesthetic into the epidural space through the sacral cleft and sacral canal. Helps relieve pain during and after surgery for almost all surgical interventions on the lower abdomen and lower extremities such as: Surgery of undescended testicle, inguinal hernia, hydrocele in children. Therefore, sacral anesthesia is also known as transsacral epidural.

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