TESTIS
3.1
Development
The testis is developed from the genital
fold of mesoderm lying below the developing kidney in the retroperitoneal
space. The developing testis migrates from this intrabdominal position to the
scrotum and takes with it a fold of peritoneum the tunica vaginalis.
3.2
Cryptorchidism
The term “Cryptorchidism” should be
reserved for those testis that are usually within the abdominal cavity and not
palpable on examination.
* Cryptorchid or intra-abdominal testis are
observed unilaterally or bilaterally in 1 to 10% of male infants, cause is not
known.
* The Cryptorchid abdominal testis, if left
untreated, will fail in its spermatogenic function.
* It may however, secrete adequate amounts of
androgens. Surgical intervention to bring it to the scrotum should be
accomplished before the age of two years.
* In unilateral cryptorchidism, surgical
exploration is less urgent
* In bilateral crypotrchidism, early surgical
intervention is necessary.
* For high intrabdominal testis anastmosis to
inferior epigastric and testicular vessals is being practiced using
micro-surgical techniques (Silber and Kelly)
Any questions be sent to drmmkapur@gmail.com
All older posts are stored in archives for access and review.
Visitors that follow may post contributions to the site,please write to address above.
To create consumer/provider engagement visit www.otmanage.blogspot.com
www.surginstruatlas.blogspot.com www.drmmkapur.blogspot.com
Now also available on android &smart phones same internet address
Now also available on android &smart phones same internet address
No comments:
Post a Comment