Hypoplasia of left testis?

summary

Cryptorchidism is one of the most common congenital diseases of male reproductive system in children. Let's share my experience with you.

Hypoplasia of left testis?

Cryptorchidism patients without complications generally have no conscious symptoms. The main manifestations were flat scrotum on the affected side, asymmetric scrotum on the left and right sides in unilateral cases, and empty and collapsed scrotum in bilateral cryptorchidism cases. If complicated with indirect inguinal hernia, the affected side appears mass after activity, accompanied by distending pain and discomfort. In severe cases, paroxysmal abdominal pain, vomiting and fever may occur.

If cryptorchidism torsion occurs, such as cryptorchidism located in the inguinal canal or outer ring, it is mainly manifested as local painful mass, no normal testis in the affected scrotum, and mild gastrointestinal symptoms.

If cryptorchidism is located in the abdomen, the pain site after torsion is in the lower abdomen near the inner ring. The symptoms and signs of right intra-abdominal cryptorchidism torsion are quite similar to acute appendicitis. The main difference is that the tenderness point of intra-abdominal cryptorchidism torsion is low, near the inner ring. In addition, testicular torsion should be highly suspected when there is no testicle in the affected scrotum.

matters needing attention

Chorionic gonadotropin (hCG): the purpose of treatment is to improve the function of Leydig's cells and Sertoli cells, promote testicular development, increase testosterone secretion, and promote testicular decline. The effective rate was about 14% ～ 50%, and the dose was 1000 ～ 1500U. Intramuscular injection was given every other day. The patients were followed up one month later. The total amount should be more than 10000 u, 20000 u does not increase the curative effect, on the contrary, there will be adverse reactions to promote testicular atrophy.