This document discusses cryptorchidism or undescended testes. It begins by defining cryptorchidism as the absence of one or both testes from the scrotum, which is a common congenital defect. Risk factors for cryptorchidism include premature birth, low birth weight, maternal health issues like diabetes, and exposure to substances like alcohol and cigarettes during pregnancy. The standard treatment is orchiopexy surgery to position the testes in the scrotum, which is usually done between 6 months and 18 months of age to prevent infertility and cancer risks. Complications can include bleeding, infection, or failure of the testes to descend properly.
Hypospadias is a relatively rare congenital condition where the opening of the penis is on the underside of the organ. This condition is more common in infants with a family history of hypospadias.
The penis may curve down in an infant and the baby may spray while urinating.
Hypospadias is a relatively rare congenital condition where the opening of the penis is on the underside of the organ. This condition is more common in infants with a family history of hypospadias.
The penis may curve down in an infant and the baby may spray while urinating.
In this presentation I have shown the etiology, clinical features and treatment for both Phimosis & Paraphimosis. I have also showed various methods of circumcision for both infants and adults.
Bladder exstrophy is a congenital (present at birth) abnormality of the bladder. It happens when the skin over the lower abdominal wall (bottom part of the tummy) does not form properly, so the bladder is open and exposed on the outside of the abdomen. In epispadias, the urethra does not form properly.
Benign prostatic hyperplasia is an enlargement of the prostate gland resulting from an increase in the number of epithelial cells and stromal tissue and developing upward into the bladder and obstructing the outflow of urine.
In this presentation I have shown the etiology, clinical features and treatment for both Phimosis & Paraphimosis. I have also showed various methods of circumcision for both infants and adults.
Bladder exstrophy is a congenital (present at birth) abnormality of the bladder. It happens when the skin over the lower abdominal wall (bottom part of the tummy) does not form properly, so the bladder is open and exposed on the outside of the abdomen. In epispadias, the urethra does not form properly.
Benign prostatic hyperplasia is an enlargement of the prostate gland resulting from an increase in the number of epithelial cells and stromal tissue and developing upward into the bladder and obstructing the outflow of urine.
Treatment of an Undescended Testicle In Delhi by Dr. Prashant Jain.pptxDr. Prashant Jain
An undescended testis is a defect that happens before birth when a testicle has still not moved to its correct position, which is the scrotum or the bag of skin hanging below the penis.
This condition usually affects one testicle, but, in a few cases, the condition may effect both testicles, thereby keeping them undescended.
An undescended testis is commonly seen in premature male child.
In most cases, Undescended testis gets rectified on its own, as the undescended testis moves to its appropriate position within the first few months of life.
However, if this condition is not corrected on its own till 6 months of age, then a surgery is required to move the testicle in to its correct position.
Hinduja Hospital Webinar on Understanding Undescended TestisHinduja Hospital
Hinduja hospital conducts regular webinars and tweetinars to help online users get medical advice from expert doctors of hinduja hospital. A similar webinar was conducted by hinduja hospital on undescended testis under guidance of Dr. Rasik Shah.
Have you observed a testicular deformation in your infant that doesn't correct itself? Do you know the common problem for which child may need surgery that is related with the descent and final position of testis? Approximately 1% of the children needs surgery for abnormal location of the testis.
To know more about Reproductive Deformities in Male Child and its treatment join talk by our expert in Pediatric Surgeon.
To know about upcoming webinars sign up at http://www.hindujahospital.com/communityportal/webinar/
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2. INTRODUCTION
• It is most common congenital defect,
characterized by absence of one or
both testes from the scrotum.
• It is the most common congenital
defect of the male genitalia.
• It may occur bilaterally and unilaterally
and may be the cause of infertility if
corrective surgery is not done. 2
4. 4
• Normal testicles arise early in a boy’s development. Although they are located
initially in the abdominal cavity, they descend or drop into the scrotal area during
the latter part of pregnancy.
• In response to the baby’s normal hormones. The testicles in the infant make
sperm and the male sex hormone testosterone. The purpose of the scrotum is to
allow the testis to be in a cooler environment than the body, because sperm cannot
develop at body temperature.
• During childhood, sperm in the testicles are undergoing a maturation process that
ultimately results in mature sperm at puberty. If the testicles are undescended,
meaning not in the scrotum, then the sperm do not mature.
WHAT HAPPENS UNDER NORMAL CONDITIONS?
5. 5
A Greek word which means ‘hidden testes’
Cryptos – Hidden
Orchis - Testis
It refers a failure of testicular decent into the scrotum.
DEFINTION
8. 8
• Idiopathic ( a combination of genetics, maternal health and other environmental factors may
disrupt the hormones and physical changes that influence the development of the testicles.
• Severely premature infants can be born before decent of testes
• LBW
• Diabetes mellitus and obesity of the mother
• Maternal exposure to estrogen during the first trimester
• Risk factors also include exposure to regular alcohol intake during pregnancy
• Cigarette smoking during pregnancy also known risk factor and
ETIOLOGY AND RISK FACTORS
9. 9
• Most patients present in infancy and around school age. A few present
after puberty.
• Absence of one or both testes
• Swelling in the groin (may be the testis or a hernia)
CLINICAL MANIFESTATIONS
10. 10
• An MRI scan with a contrast agent: The doctor injects the agent into the bloodstream to
give a clearer picture of whether the testicle is in the groin or abdomen.
• A laparoscopy: The doctor inserts a tiny tube with an attached camera through a small
incision in the abdomen. If necessary, they can also perform corrective surgery using the
same tool.
• Open surgery: In rare, complicated cases, surgeons will use this to explore the abdomen
directly.
DIAGNOSTIC EVALUATION
11. 11
OBJECTIVE
• Reducing the risk of impairment of fertility
• Prevent testicular cancer and associated inguinal hernia.
Treatment is recommended anytime after six months of age. The time between six and 18 months of age
is generally considered best, when taking into account surgical and anaesthetic factors.
Surgical therapy include “ Orchiopexy” ( surgically positioning of the testes within the scrotal sac).
It is done under general anaesthesia, and the baby almost always go home the same day and usually acts
entirely normal within one to two days.
MANAGEMENT
12. 12
• An incision about an inch long is made in the groin area. The testicle is separated
from all surrounding tissues so that it comes easily into the scrotum where it is
stitched into place.
• After treatment, the testicle usually develops to normal size in the scrotum.
However, in some cases the testicle is abnormal to start with and never grows
properly.
• It is recommended that, as a teenager, these patients have regular physical
examinations and be reminded to perform monthly testicular self-examination.