Some fetuses do not develop normally in the mother's womb, and no testicles can be seen after the boy is born. This is medically called cryptorchidism. There are many reasons for cryptorchidism, such as hormones, and the most effective way to treat cryptorchidism is surgery. 1. Cryptorchidism is a congenital developmental abnormality. Generally, hormone treatment is the first choice and can be treated for a period of time for observation. But sometimes hormone treatment may not be very effective, and there is no obvious effect and the high risk is still located in the groin. You can also consider having surgery directly to pull down the testicles and fix them in the scrotum. This will not affect development. Generally, the effect is better if the surgery is performed within two years of age. 2. Surgery is a good treatment, mainly because the child is too old for this disease. In addition, the long-term retention of the testicles in the groin has a great adverse effect on the development of the testicles. Therefore, I personally recommend that you have surgery first. However, this is only my personal opinion and does not represent 100% correct. So, since you have taken your baby to the hospital for treatment, I don’t know what the doctor’s opinion is. You can first follow the doctor’s instructions. 3. The occurrence of cryptorchidism may be related to endocrine disorders, and the use of hormones to treat cryptorchidism is widely recognized. The hormones used to treat cryptorchidism mainly include human chorionic gonadotropin (HCG), luteinizing hormone-releasing hormone (LHRH) and gonadotropin-releasing hormone (GnRH). The main component of human chorionic gonadotropin is luteinizing hormone (LH), which stimulates interstitial cells to produce testosterone. When used, penis enlargement and testicular pain may occur. If the dosage is not controlled properly or it is used for a long time, it may lead to premature healing of the epiphysis. There are reports suggesting that the use of HCG in children aged 1 to 3 years may cause testicular dysplasia. We generally use one course of treatment with a total dose of 5,000 to 10,000 U, divided into 10 injections with an interval of 1 to 3 days. In terms of the effect, it is not as good as reported in the literature, especially there are very few cases where the testicles are completely descended into the scrotum. We no longer routinely use it in young infants. |
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