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fireshot capture 074 150x130 px.jpgCryptorchidism is one of the most common genital problems seen in boys. This term refers to an undescended testis (testicle) into the scrotum. Untreated cryptorchidism clearly has adverse effects on the testis over time.  Normal testicular development begins very early in the pregnancy. Development of testis in the child is dependent of a gene located in the Y chromosome, resulting in the formation of testicular tissue from 3-5 weeks of pregnancy and this tissue starts to produce testosterone already at 9 weeks of pregnancy.

 

In the beginning, testicles are located inside the abdomen of the boy and after 28 weeks of pregnancy they start to descend crossing the abdominal wall near the scrotum through the "inguinal canal", finally arriving to the scrotum at the end of a full pregnancy. When one or both testicles are not able to descend completely to the scrotum then the child is said to have cryptorchidism.

 

Advantages of having the treatment at Arcadia Clinic

- Personalized treatment to the needs of our patients and their families with trained staff to work with children of different ages.
- Priority in safety and comfort for our patients.
- You can be in the same room with your child before and after the procedure, and the mother or father and accompany him into O.R. until just before the start of anesthesia.
- Your pediatric surgeon will be available during your stay and after discharge, his mobile phone will be available to you in case of doubts.

 

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Frequency

About 4% of full-term male newborns have cryptorchidism, decreasing to 1% infants aged 6 months to 1 year. This means that many cases will will resolve spontaneously before 1 year of age, specially if the testicle can be palpated by the pediatric surgeon or pediatric urologist in a lower position in the inguinal canal.  Spontaneous descent after the first year of life is uncommon.

Cryptorchidism is much more frequent in premature boys (Being born before 37 weeks of pregnancy), reaching a 30% of prevalence.

Absent left testicle in scrotum

 

 

 

 

 

 

 

Risk factors for having undescended testis are:


-  Prematurity
-  Low birth weight (Under 2500g)
-  Small size of the baby for his gestational age (weeks of pregnancy)
-  Being a twin
-  Maternal exposure to estrogens during the first 3 months of pregnancy
-  Having family history of cryptorchidism (The risk increases to 7% when another brother is affected and 4,6% if his father is affected)
-  Presence of congenital malformations associated with decreased intrabdominal pressure: Prune-belly syndrome, cloacal exstrophy, omphalocele, and gastroschisis, among other various syndromes.

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Other conditions that may increase the risk include:

-  Alcohol use by the mother during pregnancy
-  Cigarette smoking by the mother or exposure to secondhand smoke
-  Obesity in the mother
-  Diabetes in the mother — type 1 diabetes, type 2 diabetes or gestational diabetes
-  Parents' exposure to some pesticides

Clinic:  Strma Ulica 16, HR - 43500 Daruvar, Hrvatska
Tel: 043 675 200     Fax: 043 675 214
Skype: poliklinika.arcadia
E-mail: poliklinika@poliklinika-arcadia.hr
Offices: Daruvar - Zagreb - Varaždin
  

 

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