How does unilateral cryptorchidism do

summary

Cryptorchidism is one of the most common congenital diseases of male reproductive system in children. My little nephew once suffered from this disease. Now I'd like to share what to do with unilateral cryptorchidism.

How does unilateral cryptorchidism do

First: The higher the location, the higher the local temperature, the more serious the damage to the testis. Timely operation to make the testis return to the normal position of the scrotum is conducive to testicular development, improve fertility and reduce the incidence of cancer.

Second: the treatment of non touching testis Two experienced urologists carefully examined the patients in supine and upright positions, and those who could not touch the testis were said not to touch the testis, about 85% of them were located in the inguinal region. Hali et al. Performed inguinal exploration on 161 patients who did not touch the testis, only 6 of them could not find testis, and 5 of them were not accompanied with hernia sac. Further laparoscopy and intra-abdominal exploration confirmed that the testis was absent, and 1 case had hernia sac on the same side If testis is found in abdominal cavity, it indicates that there is a close relationship between testis and hernia sac in cryptorchidism patients. Therefore, Hali proposed that inguinal exploration should be the first choice for the treatment of testis not found in physical examination, imaging and hormone provocation test. If there is hernia sac or testis in inguinal, laparoscopy or laparotomy should be further performed. As there is no hernia sac or testis on the side, testicular deficiency can be diagnosed For example, further exploration is not necessary.

Third: surgical treatment Testicular fixation is the main method for the treatment of cryptorchidism. It has been more than 6 months at the time of initial diagnosis or hormone therapy is ineffective. The operation can be performed after 1 year old. The testicular sarcoplasmic capsule external fixation with oblique inguinal incision has been widely used at home and abroad. Cryptorchidism with too short spermatic cord blood vessels can be operated in two stages to fully ensure the blood supply of testis, but there is also the possibility that the spermatic cord blood vessels may be injured by the second operation Fowler Stephens operation can be used for high cryptorchidism of long loop vas deferens. Recently, an improved method of this operation is recommended. Fowler Stephens staged operation, that is, in the initial operation, only the vascular pedicle of spermatic cord is cut off at high position without testicular fixation. In the second stage, after the establishment of rich collateral circulation, the testicular pill is fixed in the scrotum, which reduces the chance of testicular atrophy.

matters needing attention

1. After the operation to pillow supine, head to one side. 2. The temperature, pulse, respiration, blood pressure and oxygen saturation of the patients should be monitored after the operation. 3. After operation, patients should have more rest and don't get out of bed easily.