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As part of the Pediatric Surgery Clinic, we qualify for procedures performed as part of the 1st Day Surgery Clinic, in which operated children leave the hospital a few hours after the surgery.
Cryptorchidism is a developmental defect in newborns of male sex consisting in an abnormal position of the testicle or both testicles. They are not placed in the scrotum, but in the abdominal or inguinal canal.
Surgical treatment of cryptorchidism should be performed before the age of 12-18 months, and the procedure is often recommended after the age of 3-6 months. Cryptorchid surgery consists in bringing the testicle to the scrotum and closing the hernial sac, the so-called oblique inguinal hernia. The procedure is performed under general anesthesia.
The doctor makes the diagnosis based on the examination of the child. Most often, he is able to feel the undescended testicle in the inguinal canal by touch. If the testes are undetectable on physical examination, ultrasound of the scrotum, inguinal canals and abdomen may be sometimes indicated. In rare cases, an MRI scan is ordered. Before the procedure, it is necessary to perform all the required tests and consultations with a urologist and anesthesiologist.
The child leaves the hospital the day after surgery. Convalescence after cryptorchid surgery takes several days. The surgeon will schedule a post-operative check-up. Sometimes one control is enough, but sometimes patients are regularly monitored for up to 2 years after the procedure. After the surgeon has completed the control and treatment, the position of the operated testicle should be checked by a general practitioner about once a year until puberty is complete.
Cryptorchidism increases the risk of testicular cancer. Bringing the testicle down into the scrotum does not reduce this risk. However, it makes it possible to detect cancer earlier and increase the chance of successful treatment. Most testicular cancers found early have a very good cure rate.
The occurrence of symptoms such as redness, hematoma or thickening in the area of the postoperative wound is natural with this type of procedure and does not require medical intervention.
- About the procedure
-
Surgical treatment of cryptorchidism should be performed before the age of 12-18 months, and the procedure is often recommended after the age of 3-6 months. Cryptorchid surgery consists in bringing the testicle to the scrotum and closing the hernial sac, the so-called oblique inguinal hernia. The procedure is performed under general anesthesia.
- Preparation
-
The doctor makes the diagnosis based on the examination of the child. Most often, he is able to feel the undescended testicle in the inguinal canal by touch. If the testes are undetectable on physical examination, ultrasound of the scrotum, inguinal canals and abdomen may be sometimes indicated. In rare cases, an MRI scan is ordered. Before the procedure, it is necessary to perform all the required tests and consultations with a urologist and anesthesiologist.
- Convalescence
-
The child leaves the hospital the day after surgery. Convalescence after cryptorchid surgery takes several days. The surgeon will schedule a post-operative check-up. Sometimes one control is enough, but sometimes patients are regularly monitored for up to 2 years after the procedure. After the surgeon has completed the control and treatment, the position of the operated testicle should be checked by a general practitioner about once a year until puberty is complete.
- Precautions
-
Cryptorchidism increases the risk of testicular cancer. Bringing the testicle down into the scrotum does not reduce this risk. However, it makes it possible to detect cancer earlier and increase the chance of successful treatment. Most testicular cancers found early have a very good cure rate.
The occurrence of symptoms such as redness, hematoma or thickening in the area of the postoperative wound is natural with this type of procedure and does not require medical intervention.
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