treatment of a migratory testicle
A migratory testicle is a testicle that does not exist and sometimes both testicles are in the scrotum, where they are either in the abdominal wall or inside the abdomen. The causes of the migratory testicle are not known precisely, but there are influencing factors, including: the lack of some hormones in the mother or the fetus itself, which plays a role in lowering the testicle. Or because the testicle did not respond to this
Hormones, an anatomical blockage in the inguinal canal that prevents testicle descent, the mother taking some hormonal medications during pregnancy. On this topic, we met Dr. Khaled Fouda, a consultant urologist at the Dr. Sulaiman Al Habib Medical Center.
Dr. Fouda, are there any symptoms that indicate this condition? And how is the testicular migration diagnosis?
After the child is born, the doctor or the mother discovers that, during her child''s washing, the scrotum is empty, in which there are no testicles or one testicle, and in some cases this is not discovered until later in the child''s life, complications have occurred. Also, in some cases, the symptoms of a migratory testicle feel pain in the place where the testicle is.
If both testicles are not descending then he will notice that the scrotum appears small and not fully developed, but if one of the testes is not descending, then the scrotum appears asymmetric, meaning that there is a vacuum on one side and is full on the other side.
Having the testicle away from the scrotum leads to damage
Does the migration of the testicle remain in the abdomen any problems or complications?
If the early testicular test is not detected early or its treatment is delayed until puberty, then the testicle may become atrophic and subject to eternal damage, then the ability to form spermatozoa is lost, and this male becomes infertile if both testicles are not descended into the scrotum, but if it is only one Others can perform sexual and reproductive functions. The reason for damage to the migratory testis is that it was placed in a place that is not compatible with the heat required for the formation and life of the seminal gametes.
Proper diagnosis is one of the basics of treatment
What about how to treat?
The most important thing in treatment is with the definitive diagnosis of the problem. That is because in some children the testicle ascends from the scrotum and then descends, and this happens either during the sitting and sitting, or when the child is exposed to a cold weather or exercising a large activity, and all of these cases are temporary and simple as the testicle can be lowered in a warm bath. If the diagnosis of the testicular immigration test is confirmed, treatment is carried out through a surgical procedure to fix it in the scrotum, which is a routine and safe operation - God willing - and one-day operations.
Does the doctor or parent''s awareness play a role in discovering the migratory testicle?
Certainly yes, the doctor performs a full examination of the child to diagnose any birth defects and follow up on the child''s health with the family, and that the father and mother should be more aware to follow the health of their child.
Delayed treatment leads to infertility if there are two migratory testes
Does the testicular immigration affect reproduction?
In the event of late treatment, especially if the testes are migratory, there may be an effect on the reproductive process in the future.
Rapid surgical treatment in case of sperm sprain
We hear about a condition called Testicular torsion. Can you tell us what it means?
It is a serious condition that is dealt with in emergency situations, where the spermatic cord that holds the veins and arteries of the testicle gets twisted, which leads to stopping the blood flow to the testicle and consequently its death and damage. Therefore, rapid treatment of this disease is required and it is by conducting a process to restore the testicle to its normal state and install it in this The situation.
Are there any symptoms or signs of this condition? .. And what about its treatment?
Sudden severe severe pain in the testicle, accompanied by nausea and vomiting, and possibly fever. Pain may reach the lower abdomen. Swelling of the testicle occurs and is painful when touching. The scrotum is red and swollen. Treatment is carried out with immediate urgent surgery in order to straighten the spermatic cord, remove sprains and testicular blood supply.
