Can Surgery Immediately After Ultrasound In Children With Undescended Testes (UDT)?
Good afternoon, I want to ask, my child is 5 years old this Friday, will be ultrasound because he is affected by UDT, is it finished with ultrasound and can take immediate surgery or wait, because we are going back and forth to the hospital and we are tired, tired? existing ones who had agreed to treatment instead dy dy refused because already bored. That’s all and thank you
Hello Vhiana, thank you for the question.
Undescended testis (UDT) or cryptorchidism are conditions where the testes do not descend into place. This disease is the most common congenital disease in men. Some factors that can increase the risk of UDT include:
Premature birth babies Low birth weight babies born small for pregnancy Twins Estrogen therapy in the first trimester This disease is a disease that has existed since birth, several mechanisms that cause UDT, among others due to differences in the growth of genital organs such as funicular spermatikus or gubernaculum , increased pressure in the stomach, hormonal factors, secondary to inguinal surgery that causes the formation of connective tissue that interfere with decreased testes, and others. UDT can generally go down spontaneously around 70-77% at the age of 3 months. If after the age of 2 years there is no spontaneous decrease will increase the risk of infertility / infertility. Therefore it is better to do the right management because it can have an effect on the testes later in life. UDT will also increase the incidence of germ cell tumors 3-10 times, testicular atrophy, and others. The doctor will conduct a direct examination and additional examinations if needed, the doctor will ask about the complaint, whether the testicles have been palpated in the genital sac, family history of the same complaint, history of inguinal / groin surgery, history of maternal pregnancy, and others. Additional tests that may be carried out include laboratory tests, ultrasound, CT scan, or MRI. After the examination, the doctor will give you choices about the treatment methods that can be undertaken, depending on the location of the testes and other medical conditions that accompany. Treatment options that are usually recommended can be in the form of hormonal therapy, surgery, or a combination of both. Operating procedures are usually done on a scheduled or elective basis, surgical procedures are also carried out with preparation. The surgery chosen is orchiopexy, and should be done before patients aged 2 years, even some studies suggest at the age of 6-12 months. Absolute indications for surgical procedures include: Failure of hormonal therapy Ectopic testes There are other abnormalities such as hernias. Hormonal therapy usually uses human chorionic gonadrotropin hormone (hCG), gonadotropin-releasing hornibe (GnRH), or LH-releasing hormone (LHRH). The lower the location of the testes, the more likely the success of the hormonal therapy. So, you should consult with your doctor again, the doctor will suggest the best treatment measures based on the clinical condition of the patient, whether the need to immediately perform surgery or just need to do hormonal therapy, or a combination of both.
Thus, hopefully it helps.