Question
A 5-year-old male child underwent bilateral cryptorchidism surgery at 4 weeks of age, but the testicles did not successfully descend into the scrotum and are still palpable in the inguinal canal. What could be the cause of this, and what solutions are available?
Answer
Cryptorchidism may be caused by endocrine or physical factors that interfere with the embryonic development process, leading to the testicles not descending normally into the scrotum. Surgical failure may be due to short gubernacular cords or insufficient action of the cremaster muscle, or possibly high intra-abdominal pressure. It is recommended to use laparoscopic examination and treatment, which has higher accuracy and safety. Wishing your child a speedy recovery!