Question

The child was found to have cryptorchidism shortly after birth and has undergone ultrasound and computed tomography scans, but the testicles were not found in the crypt. Seeking a treatment plan that minimizes psychological trauma.

Answer

Cryptorchidism refers to a condition where one or both testicles fail to normally ascend into the scrotum within two months after a newborn’s birth. Treatment for cryptorchidism includes hormonal therapy and surgical treatment, with the specific choice depending on the natural ascending condition of the testicles, regression changes, fertility, and treatment effectiveness. Endocrine treatment is suitable for patients with low serum testosterone and luteinizing hormone levels. After using human chorionic gonadotropin (HCG), an increase in serum testosterone indicates that the testicles respond well to HCG treatment, making the possibility of testicle ascent greater. Laparoscopic examination and treatment are suitable for confirmed inguinal canal and high intra-abdominal cryptorchidism, with minimal trauma and short duration, allowing for surgery to be performed simultaneously with the examination. It is recommended to choose the treatment method and medication based on the child’s specific situation and to treat as early as possible, wishing for a quick recovery.