Causes of cryptorchidism in males

Sep 13, 2022 Source: Cainiu Health

Dr. Li Mingchuan

Introduction

If there are cases of cryptorchidism in the family, the likelihood of genetic inheritance is generally high. However, it is also significantly related to individual local factors. Persistent mechanical obstruction or fusion of mucosal adhesions may prevent the normal descent of the testes. Additionally, endocrine hormone abnormalities can lead to cryptorchidism, which may present as either unilateral or bilateral forms.

In daily life, many people experience disorders in the development of the reproductive system, which can easily lead to sexual dysfunction in men. What causes cryptorchidism (undescended testes) in males?

What Causes Cryptorchidism in Males?

The causes of male cryptorchidism include endocrine hormonal imbalances, genetic factors, and anatomical factors. The endocrine factor mainly relies on maternal gonadotropins, which stimulate the fetal Leydig cells in the testes to produce androgens. Therefore, when there is an intrinsic defect in the testes, it may lead to reduced or absent gonadotropin levels.

If there are previous cases of cryptorchidism in the family, the likelihood of inheritance is relatively high. However, it is also closely related to individual local factors. Frequent mechanical obstruction or adhesion of the tunica vaginalis can prevent the normal descent of the testes. When cryptorchidism results from endocrine hormone abnormalities, it may present as either unilateral or bilateral undescended testes, and is often associated with local anatomical factors.

It is recommended that male patients promptly visit a hospital for relevant genital examinations, combined with ultrasound imaging to determine the underlying cause. If the condition is caused by anatomical factors, surgical intervention can be used to reposition the testes, such as orchiopexy or testicular transplantation. Maintaining good local hygiene during treatment is essential. We hope this information helps you. Wishing you good health and happiness.

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Cryptorchidism surgery video

Cryptorchidism refers to the failure of a patient's testicle to descend properly into the scrotum, characterized by incomplete descent or abnormal positioning of the testicle. Surgery is usually an effective treatment option. If surgery is required, it is recommended to go to a正规 hospital and undergo the procedure under the guidance of a qualified physician to avoid potential bodily harm due to improper operation. After surgery, adequate rest and proper postoperative care are important to promote recovery.

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How is cryptorchidism treated?

Cryptorchidism may be caused by endocrine abnormalities, abnormal gubernacular development of the testis, anatomical abnormalities, congenital inguinal hernia, congenital adrenal hyperplasia, or other similar factors. It is recommended to seek timely medical attention and follow a doctor's guidance for treatment options such as hormone therapy, surgical intervention, or medication. Pregnant women should avoid exposure to harmful substances to reduce the risk of fetal developmental abnormalities.

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What is the cause of cryptorchidism?

In most cases, cryptorchidism may be caused by abnormal hormone levels, abnormalities of the testicular gubernaculum, short spermatic cord vessels, hydrocele, inguinal hernia, etc. Treatment options include general management and medication. It is important to maintain a balanced diet in daily life, increase intake of foods rich in androgens, and avoid strenuous exercise and prolonged standing to protect testicular health.

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Can cryptorchidism affect height growth?

Under normal circumstances, cryptorchidism can generally affect height growth. Cryptorchidism usually refers to testes that are not located in their normal position but are instead displaced into other areas within the body, such as the abdominal cavity, resulting in asymmetrical testicular development. If there is a hormonal abnormality, it may lead to impaired testicular development, thereby preventing normal growth in height in males.

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Can a cryptorchid testicle move back after surgery?

In general, once surgery for cryptorchidism has been performed, the testicle does not move back. Cryptorchidism refers to a condition in which one or both testes fail to descend into the scrotum and remain in the inguinal canal or elsewhere. For patients with cryptorchidism, surgery is a common treatment approach. The goal of the surgery is to reposition the undescended testicle into the scrotum to promote normal reproductive development and function. The procedure typically involves an incision in the inguinal region.

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Can cryptorchidism be acquired (develop after birth)?

In most cases, undescended testes can be acquired after birth. Acquired undescended testis refers to a condition in which, after birth, the testis fails to descend into the scrotum due to excessive tension in the inguinal region muscles. This increased muscle tension may obstruct the normal descent of the testis. Alternatively, it may result from an overly long testicular ligament, which can prevent the testis from descending into the scrotum.

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What does cryptorchidism mean?

Undescended testis is a common congenital disorder of the reproductive system in children, with a relatively higher incidence rate in premature infants. Its occurrence is mainly associated with endocrine factors and abnormalities of the testicular gubernacular ligament. Endocrine factors refer to insufficient secretion of gonadotropins by the mother during pregnancy, which affects the process of testicular descent. Abnormalities of the gubernacular ligament involve developmental defects in the ligament, preventing it from effectively guiding the testis into the scrotum.

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What are the symptoms of cryptorchidism?

The most common symptom of cryptorchidism is an empty scrotum on the affected side. Some patients have unilateral involvement, while others have bilateral involvement. In some cases, a testis-like mass can be palpated in the inguinal region on the side of the empty scrotum—this is termed an inguinal cryptorchid testis. In other cases, the testis cannot be palpated on the body surface, and ultrasound fails to detect it; the testis may reside within the abdominal cavity or may be absent altogether.

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