|
ISSN 0973 - 0958
Absence of Testis from
Scrotum
Circumcision in Children
Acute Swelling and Pain
in Scrotal Region
Translate this page
ABSENCE OF TESTIS FROM SCROTUM
Dr. Vivek M. Rege
Pediatric Surgeon & Pediatric Urologist
B J Wadia Hospital For Children, Hurkisondas Hospital, Wockhardt Hospital, Mumbai
This condition occurs only in boys for obvious reasons. Parents may notice that one or both testes may be missing from their normal location in the scrotum. This defect is usually present from birth, though may be noticed as late as 3 - 4 years. The incidence of this defect in full term boys is about
Pediatric Surgeon & Pediatric Urologist
B J Wadia Hospital For Children, Hurkisondas Hospital, Wockhardt Hospital, Mumbai
This condition occurs only in boys for obvious reasons. Parents may notice that one or both testes may be missing from their normal location in the scrotum. This defect is usually present from birth, though may be noticed as late as 3 - 4 years. The incidence of this defect in full term boys is about
3 %, but, in prematures is as high a 30%. The reason is based on natural embryology in a boy. The testes are formed within the abdomen just below the developing kidneys. As the fetus grows, the testes descend down towards the groin or inguinal region around the 7th month. Around the 9th month, or, just before birth, they come out of the inguinal canal and descend down into the scrotum. Hence the very high incidence of nondescent of testes in prematures born at 8 - 9th month.
In some boys, for many reasons both hormonal and/or mechanical, the testes on one or both sides may not descend normally into the scrotum. This results in absence of testis on one or both sides. The absent testis can be anywhere along the normal course of descent.
In those boys in whom a testis is not seen or felt on one or both sides, there are four basic possibilities and the goal is to find out which of these and treat it accordingly:
1. Retractile testis
2. Ectopic testis
3. Undescended testis
4. Absent testis.
In some boys, for many reasons both hormonal and/or mechanical, the testes on one or both sides may not descend normally into the scrotum. This results in absence of testis on one or both sides. The absent testis can be anywhere along the normal course of descent.
In those boys in whom a testis is not seen or felt on one or both sides, there are four basic possibilities and the goal is to find out which of these and treat it accordingly:
1. Retractile testis
2. Ectopic testis
3. Undescended testis
4. Absent testis.
Difficulty in Passing Urine
The parents in younger children may notice this or the older ones may be able to vocalize and tell their parents. The boy may be straining to pass urine, have a thin stream of urine, which may fall close to his feet. The child may cry when passing urine, may pull at the penile skin after passing urine, or have a habit of rubbing the penile tip skin off and on.
During the course of the day the parents may notice that the child continuously has his hand on his penis. All these are signs of irritation, infection, inflammation of the prepucial skin, which is long standing. The parent may notice a ballooning of the prepucial skin before the urine stream comes out.
During the course of the day the parents may notice that the child continuously has his hand on his penis. All these are signs of irritation, infection, inflammation of the prepucial skin, which is long standing. The parent may notice a ballooning of the prepucial skin before the urine stream comes out.
Disclaimer:
The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
copyright ©2011 website design & development by Levioza
