What is the escaped testicle?
Escaped testicle is a testicle that is found outside the scrotum
What are the whereabouts of the escaping testicle?
- Inside the abdomen
- The inguinal canal
- Scrotum neck
- Outside the course of the spermatic cord
Why should the testicle be in the scrotum
In order for the testicles to function in the secretion of the hormone testosterone as well as the formation of sperm, they need a temperature that is two degrees lower than the body temperature. Therefore, the scrotum outside the abdomen was found in which the testicles would settle, where the appropriate temperature for them to do their work of secreting testosterone and producing sperm
What are the complications of having a testicle outside the scrotum?
- Testicular atrophy and loss of the ability to secrete testosterone and produce sperm
- The spermatic cord wraps, which leads to interruption of blood supply and testicular death
- The possibility of malignant growth in the escaping testicle is higher than that of the testicle in the scrotum, as well as delayed detection, which leads to its spread and increased risk to the life of the injured
How is an abscessed testicle diagnosed
- At birth, the testicle usually has entered the scrotum for a boy when the participating pediatrician examines the newborn child and can determine whether the testicle is in place or not.
- When the mother changes the diapers and bathes the child, you can see whether the size of the left and right sides of the scrotum are equal or have a difference
- Clinical examination by a specialist doctor can determine whether the testicle is in place or not
- Ultrasound work
- CT and magnetic resonance imaging, and this is usually for a few cases when the testicle is inside the abdomen and the ultrasound cannot accurately determine its presence
Treatment of escaped testicle
Escaped testicle is usually the spermatic cord is short or accompanied by an obstacle such as the presence of a hernia of a child trying to treat it with the hormone is usually useless and the only treatment is surgically by dropping and fixing the testicle to the scrotum, which is a one-day operation where we send the patient to his home several hours after the operation and whenever it is performed The early operation, the closer the testicle is to its work and its normal size
Dr. Khaled Qamhieh