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Thursday, November 26, 2009

Cryptorchism


A testicle goes down in a scrotum on 7-th months of pregnancy.Gonadotropine of mother and placentas, which influence on testiculary tissue, induce formation of androgens and necessary both for the process of lowering of testicle and for functional activity of cages of Leidig andspermatogonies in new-born. If a testicle does not go down in a scrotum during the first year of life, this process stays too long to the period of the sexual ripening or a testicle does not go down in general.


At a review absence appears more frequent one testicle and rarer at bilateral cryptorchism – two testicles. At bilateral cryptorchism it is necessary to conduct differential diagnostics from anorchism by test withchorionic gonadotropine and by subsequent determination of level oftestosterone in the whey of blood. A testicle which did not go down can be disposed in an inguinal channel or in an abdominal region.


Cryptorchism is reason of inferior development of testicle, that is why it is necessary as possible before to begin therapy by chorionic gonadotropine (for adults for 1500 МО twice for a week during 6 weeks) which improves circulation of blood in a testicle and lowering of testicle. Therapy of by chorionic gonadotropine is conducted in any age, beginning from multimonthly age, and if she appears uneffective, an operation is recommended (surgical report of testicles).

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