About 25 % of the intangible testing parts of I hidden tests stay behind the abdominal peritoneum, and about 70 % stay in the groin tube; about 5 % stays on the upper or other parts of the scrotum.Unilaterally is more than both sides, with equal left and right.Because the male reproductive cells located in the testicles need to develop normally under the condition that it is slightly lower than the body temperature 1.5 to 2.0 ° C, and patients with cryptorchidism often have testicular fine dysfunction due to temperature.
Double -sided hidden tests, because the testicles stay in the abdominal cavity or inside the gap, the temperature and body temperature of the location are the same (about 37 ° C), which affects the development of reproductive cells and the development of testicular tissue structure is not perfect;Sperm counts are reduced or all are dead sperm, and sperm vitality is extremely low; the severe cases do not produce sperm, so most patients have male infertility.
Unilateral hidden test disease, because the testicles on the other side are normal, can usually maintain normal or close to normal sexual function, which has little effect on fertility.However, more than 30 % of them may occur in male infertility.
For the treatment of cryptorchidism, some scholars believe that those who have not declined for testicular within one year of birth can still decline, and they can also decrease during childhood. Before puberty, they may still decrease normally due to the increase in androgen secretion before adolescence.Therefore, in addition to early surgery because of hernia, patients should be patient until adolescent re -surgery.However, through a large number of research on testicular tissue pathology, most scholars have strong opposition to wait until adolescence before surgery.Because if you wait until the age of 5, you can almost be sure that the testicular will become abnormal, the function of raw essence can be reduced, and the incidence of cancer will increase.Regarding hormone treatment, some foreign scholars advocate that the application of testicular development is the most ideal application in the period of 4 to 10 years old, which can reduce the testicular.However, this is suitable for bilateral test hidden tests, because unilateral hidden tests have indicated that there is enough hormone in the body to promote the decline of the testicles. The reason why one side fails to decrease may be caused by other factors such as adhesion and groin ring narrowing.Hormone therapy is only effective for hidden tests, and is not effective for deformities such as heteropathic tests and testes.In addition to the male hormones, the chorionic gonad hormone and anterior pituitary injection are effective.Due to the source of medicine, applications are not widely used in my country.
Those who are not effective for a large dose of meridian hormones in a short time should not continue to apply Chinese and Western drugs, but should be given early surgery.The purpose of surgery is to expect the spermatic function of the testicular, restore the appearance of the normal reproductive organs of men, eliminates the risk of cancerous cancer in the testes, and exempts other damage to the unexplained testicles.The time to perform testicular surgery is generally 4 to 6 years old. At the latest, it cannot exceed the early stage of youth (13 years old). Adult cryptophastin can be resumed.About 80 % can have fertility, depending on the age of surgery.
(Editor in charge: Internship Liu Suqiong)
