Post Date December, 02 2023
How much do you know about cryptorchidism? Today, the editor will tell you what cryptorchidism is, and the causes and hazards of cryptorchidism.
Cryptorchidism: During embryonic development, one or both testicles do not descend into the scrotum and remain at any position during descent, with no testicles found in the scrotum.
2、 Etiology
In the embryonic stage, the abnormal or absent cord like vocal cords that pull the testicles downward prevent the testicles from descending from the waist to the scrotum;
L2 congenital testicular hypoplasia makes the testicles insensitive to gonadotropins and loses the dynamic role of hormones in testicular descent;
L3 Luteinizing hormone releasing hormone produced by the hypothalamus
Local factors such as mechanical obstruction and peritoneal adhesion prevent normal testicular descent.
Some patients with cryptorchidism have a significant family history, so genetic factors may be one of the reasons for cryptorchidism.
3、 Hazards
Testicular atrophy: The testicle does not descend into the scrotum, and there are only mild tissue changes within 2 years of life. After 2-5 years of age, it can cause testicular hypoplasia or atrophy; L2 Malignant transformation: The risk of testicular malignant transformation in testicular patients is 20-48 times higher than that in normal scrotal testicles, while the risk of testicular malignant transformation in abdominal cavity is 5 times greater than that in inguinal testicles. The causes of testicular malignant transformation are congenital defects of the testis, abnormal location of the testis, and high ambient temperature; L3 is prone to trauma: The testicle is located within the scrotum, with a high degree of activity and a low chance of trauma. "The testicles located in the groin are compressed when the abdominal muscles contract and the inguinal canal also contracts.". The testicles in the abdominal cavity are also frequently compressed by changes in abdominal pressure; Testicular torsion: The testicle of cryptorchidism may have abnormalities in the attachment of the testicular band, levator muscle, or tunica vaginalis, which is prone to testicular torsion; Other: About 65% of cryptorchidism patients have indirect hernia; An empty scrotum can cause feelings of inferiority, mental distress, and withdrawn temperament.
