Definition and causes
Kryptorkisme is a condition in which the testicles are not yet in Billfold at birth. Udviklingsmæssigt brought testicles in the abdominal cavity, then walk down and up through the abdominal wall by lysken to their final location in Billfold. Kryptorkisme seen in 2-4% of all drengebørn, but many come from the testicles in place within 1. life. If they do not come in place within the first year, the chances of it happening by itself small.
Kryptorkisme can be isolated or accompanied by other illness. In particular, it is about:
- Hypospadias: a malformation of the urethra and possible. penis and Billfold, where the urethra is not as normal result on the tip of penishovedet, but on the underside of penishovedet, penis or on the Billfold.
- Misdannelse of Billfold.
- Spina bifida (rygmarvsbrok).
- Hypogonadotrop hypogonadism: A condition where testiklernes development has changed, because there is inadequate hormonpåvirkning of testicles from structures in the brain.
Symptoms of kryptorkismeKryptorkisme makes no symptoms, in addition to therapy can not be felt in Billfold.
Precautions and diagnosis
If you find that one or both of one's child's testicles are not in Billfold, one should consult a doctor for treatment. The doctor makes the diagnosis by examining the Billfold. It is also important to examine high in lysken because the child may have a condition called retraktile tested the therapy actually is in place, but can withdraw up in lysken.
Many children with kryptorkisme being detected by routine medical examination immediately after birth. If the doctor does kryptorkisme, the child must be examined again in 5-6 months of age and 12 months after birth to see whether the therapy is in place by itself. If there is kryptorkisme, will refer to a surgical specialist. This will be through a kikkertoperation try to find out where in lysken testicles are located. Often you will move testiklen / ren
Consideration of kryptorkismeWithin 4 years of age is the operation the preferred treatment. If it is both testicles, which is not in the Billfold, will operate when the boy is 1 ½ years. If only one testicle, will operate within 4 years of age. The operation should take place in a specialist with experience in the area.
If the child is over 4 years will prefer hormone treatment with hCG (human chorion gonadotropin, graviditetshormon) orgonadotrophin releasing hormone. This treatment has no known langtidsbivirkninger and will have testicles in place in 25%. Another benefit of hormonbehandlingen is that the subsequent surgical treatment, if the testicles are not in place, will be easier. Hormonbehandlingen, however, that there is no obstacle, such as. lyskebrok , On their way from the abdominal cavity down through lyskekanalen to Billfold.
Select and complications
Surgical treatment is not without risks. There are about. 5% risk of damage to testiklen (testisatrofi). There is, however, also risks by letting testiklen be where it is. Almost all men with persistent kryptorkisme have reduced or completely abolished fertility . This applies only 60% of operating in both testes and 10% of operating for one testicle.
Men who have had kryptorkisme, has a 4 times greater risk of testicular cancer regardless of whether they have been operated or not. Therefore choose Monday to examine the testicles with a vævsprøve with the boys that will be operated after 12 years of age.