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Under normal circumstances, the fetus is developed into the scrotum in the later stages of developing the child.However, about 3%of the full -month baby baby and 30%of premature baby boys have hidden testis (testicles have not dropped).Most of these babies can be reduced into the scrotum within a few months after birth, but about 0.8%of baby boys have not dropped into the scrotum a year after birth.
The first ejaculation time for cryptor test patients is later than the normal control group, and the incidence of adolescent nocturnal emission is also lower; its adult sexual life is also less than the normal control group.
If the urgent test is a mental burden due to frequent examination of sexual organs, or the testicular of the testicular after hormone is still not decreased, it may lead to sexual psychological disorders.Due to repeated checking of the child's scrotum and testicles, the parents of the child are also frustrated.Doctors must tell the nature of the hidden tests and their influence on adult functional function, tell the parents of the children, so that they have a correct understanding.
Second, ectopic testicles
When the testicles decrease from the groin pipe, it may not be dropped into the normal position in the scrotum, which causes at present testicles.Exicic testicles are rare, and its clinical significance and treatment principles are generally the same as those of cryptor tests.If the diagnosis is clear, surgical treatment should generally be considered, because androgen therapy is generally invalid.Previousness of testicular fixation before adolescence can usually restore the testicular function to normal.
Three, no test
Congenital bilateral bilateral no testis (testicular lack of) is extremely rare, and only 61 cases are reported in the literature.The cause of the disease may be: after the fetal gender differentiation, the fetal testicles are damaged by some toxins.The treatment methods are: (1) alternative therapy: began to be applied to the application of propyate testosterone in adolescence, three times a week, until the outer genitals develop normally; the dose can be reduced to 10 mg after that, three times a week: or oral (under the tongue) methyl bases:Testosomone 16-45 mg/day.(2) Surgical therapy: Pseudo -testicles are implanted in the scrotum (silicon rubber or silica rubber capsules are loaded with silicone, which is good) to reduce the patient's "body image" and psychological disorders.Recently, someone reported a testicular transplantation of testicular non -testicular, and the testicular was taken from its brothers.
Fourth, multi -test
It refers to more than two testicles. The first discovery of this disease was first discovered in 1670 and confirmed pathological.It is generally believed that it does not exceed 3 testicles, and the left side is more than the right.The excess testicles are rarely developed normally. The testicles that have long -term existence and atrophy have a bad change. Therefore, the excess testicles should be removed as soon as possible.
Five, testing
It means that the testicular fusion on both sides can occur in the scrotum and in the abdominal cavity.And tests are often accompanied by other serious congenital malformations, and there are very few people who can develop.
6. Testes are poor
During the embryo period due to blood supply disorders or to reverse the occurrence of sperm cables when the testicular decline, it can cause the disease.When cryptorchidism, sexual naive type, and pituitary dysfunction are also common causes of the disease.
Unilateral testicular development is not necessary to treat due to opposite testicular compensation, and patients with cryptorchidism should be treated as early as possible.
Seven, testicular hyperplasia
Testicles hyperplasia means that the testicles are relatively large, and their hardness and local anatomical relationships are normal. It is common in the lack of testicular on one side of the testicular on the opposite testicular compensation.Generally do not require special treatment.
Once the testicular is sick, it will bring a lot of pain to the patient. Once the testicular abnormalities are found, they should quickly go to the hospital for examination and treat it as soon as possible after diagnosis.
(Editor in charge: Wang Shaohua)
