~UNDESCENDED TESTIS
The testicles form in the baby’s abdomen at the eighth week of pregnancy, just below the developing kidneys. The testicles, which remain in the abdomen until the seventh month of pregnancy, enter through the inguinal canal with the effect of secreted hormones and some factors, and settle into the scrotum just before birth. An undescended testis occurs when this migration, which starts from the abdomen and ends in the scrotum, stops anywhere.
Undescended testis is found in 3-5% of term infants. This rate increases in premature babies. Undescended testis can be on the right in 60-70%, on the left in 20-30%, and bilateral in 10-20%.
The testicles are kept in the scrotum about 3-4 degrees cooler than the body. Sperm quality and structure deteriorate with the effect of temperature and some factors in the testicles that are not in the bag. Infertility is not the only negative effect of the undescended testis. The risk of developing cancer in advanced age is quite high.
What is a shy (retractile) testis?
After the testicles descend into the scrotum, they adhere to the posterior wall. Sometimes the testicles do not adhere and can move freely. In the cold, when the inner surface of the thigh is touched, they run up, and in the bathroom, when they are hot, they go down into the bag. This condition is called retractile (shy) testis. These cases require follow-up.
Treatment
Today, hormone therapy has been abandoned in cases of undescended testis. Until 2007, at the age of 2, it was said that two eggs in two candle bags in a cake, but today, surgical treatment is applied in cases that do not descend into the scrotum until the age of 1 year.
Undescended testicle surgery is performed as a day surgery and if there is no other problem, the patient is discharged after the necessary controls are made at the end of the day, with a control date.
