Answer to Question #29386 in Biology for piyush singh

Question #29386
why cryptorchidism condition leads to,why other ways are performed.
1
Expert's answer
2013-05-02T10:02:25-0400
Cryptorchidism is the absence of one or both testes from the scrotum. It isthe most common birth defect regarding male genitalia. In unique cases, cryptorchidism can develop later in life, often as late as young adulthood. About 3% of full-term and 30% of premature infant boys are born with at least one undescended testis. However, about 80% of cryptorchid testes descend by the first year of life (the majority within three months), making the true incidence of cryptorchidism around 1% overall. In about half of the babies, the undescended testicles move down or descend on their own by the sixth month of life. If spontaneous descent doesn't happen by then, it's important to get treatment because testicles that remain undescended may be damaged, which could affect fertility later or lead to other medical problems. Treatment for the undescended testicle depends on the location of the testis. For testes which can be felt in the groin area, the usual recommendation is for an operation called anorchidopexy or orchidopexy. This literally means "fixing the testis." This operation is almost always performed as an outpatient. It is done through a small hernia incision in the groin and takes up to one and one-half hours to perform. Recovery is generally very rapid and success can be expected to be good. An alternative is hormonal treatment with HCG. This is a series of injections which stimulate the testicles to make male hormone. This puts in motion the mechanism of testicular descent and in a small number of boys will result in permanent descent of the testicle. The operation that is most accurate in locating these testicles is called a laparoscopy. This is a procedure in which a telescope is placed into the abdomen through a small incision near the navel. Using this telescope, the abdomen can be examined to see whether a testicle is inside. It may demonstrate evidence that there is no testicle, in which case the operation is over. It may indicate that there may be a small testicle in the groin, in which case a groin incision is made and the area is explored for a small testis, which must be removed. It may demonstrate a testicle inside the abdomen, in which case an operation can be done to either remove the testis or move it into the scrotum.

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