Question
What are the manifestations of bilateral testicular microlithiasis? What kind of assistance and precautions are needed?
Answer
Testicular microlithiasis is a rare testicular disorder that is often discovered incidentally during scrotal magnetic resonance imaging. It is commonly associated with various clinical symptoms, including cryptorchidism, congenital hypoplastic testicular syndrome, male pseudohermaphroditism infertility, and pulmonary microlithiasis. Studies suggest that testicular microlithiasis may be related to testicular tumors, varicocele, epididymitis, testicular trauma, torsion of the testicle, and primary testicular tumors. Although the incidence rate of testicular microlithiasis in the general population has not yet been determined, the detection rate in pediatric autopsies is approximately 0.5%. Due to the higher risk of patients with testicular microlithiasis developing primary testicular tumors, patients should be instructed to perform self-examinations and undergo magnetic resonance imaging on a regular basis. There is no clear recommendation for the interval of magnetic resonance follow-up, but it is generally suggested that children with testicular microlithiasis undergo a magnetic resonance imaging every 6 to 12 months.