In boys, the condition when one or both of the ovaries (testes) are not in the bags is called undescended testicle. The testicles develop in the abdomen while in the womb, and the descent of the testicles into the scrotum occurs later and closer to birth compared to other developments while the baby is in the womb. It is seen at a very high rate of 33 percent in seven-month-old babies, and at a rate of three percent in term newborn babies, but it completes its descent over time. It is seen in approximately one percent of one-year-old male babies.
Some of the undescended testicles (20 percent) cannot be detected during examination, it is necessary to understand their location and whether they have formed.
In some cases of undescended testicle, the testicle descends into the scrotum from time to time and sometimes flows back into the inguinal canal. This situation is called retractile testicle (mobile testicle, shy testicle).
Retractile testicles; In other words, testicles are outside the scrotum and are easily brought into the scrotum by examination and seen to remain in the scrotum for a while. Retractile Testis is sometimes located in the scrotum and sometimes in the groin. When it is brought into the scrotum, it remains there for a certain period of time. It is known that an overactive cramesteric reflex causes a retractile testicle.
Retractile testicles can be lowered into the bag and remain there for a while. When the bag and groin are touched, they move back to the groin due to strong reflexes. In a warm environment, they go down into the bag and in cold weather, they go back up to the groin.
The diagnosis of retractile testicles can be made with a careful physical examination. During the examination, the inguinal region, femoral region, perineum and opposite scrotum are carefully examined. The palpated testicle is stroked from the inguinal canal towards the scrotum. If the testicle that is lowered into the scrotum continues to remain in the scrotum, it is considered a retractile testicle.
In the case of a retractile testicle, most of the time, no treatment is required.
Only once a year or so. Two checks are sufficient.
However, checks and follow-up are very important.
During the control examination, if the testicle cannot be lowered into the bag easily or if it immediately moves back up after lowering, this indicates that it is time for surgical intervention. .
Shy testicles In cases where surgery is required, being late in treatment can lead to very serious problems such as infertility.
As a result, the most important point in approaching retractile or shy testicles is the examination of a pediatric urologist. In this way, unnecessary surgery can be avoided most of the time, while a small number of patients who may require surgery are not missed and thus the risk of infertility is prevented.
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