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Testicular ectopia: a small incident of course

Testicular ectopia: a small incident of course

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Testicular ectopia, about 5% of the mums of little boys hear about it during the first health check of their baby. This anomaly rectifies most often of itself ... sometimes it is necessary to help it!

What is testicular ectopia?

  • In the boy, the testicle is made during the embryonic life, next to the kidney, in the abdomen. Throughout the fetal development, it descends to exit the abdominal cavity (through the inguinal canal) and come to be placed in the corresponding purse. As it descends, the inguinal canal closes by sticking its walls.
  • Normally, at birth, each testicle is lowered ... but it happens that one of them (or both) stops "en route". In 90% of the cases in the inguinal canal (higher or lower), sometimes in the abdomen: it is the most complex case, because it is not detectable with the palpation and can make doubt its existence.

When is this anomaly detected?

  • Check that the testicles are well down is part of the balance sheet performed by the pediatrician at the maternity ward. If he finds that one of them is out of place, he will tell you, but there is no urgency to intervene: barely 1% of little boys still have this problem at home. the age of 1 year.
  • On the other hand, if the pediatrician diagnoses an inguinal hernia (the testicle has not descended, the inguinal canal has not closed and the intestine is engaged inside), he will consider an operation.

When can a definitive diagnosis be made?

60% of the ectopias touch the right side.

  • All babies diagnosed with testicular ectopia at birth are re-examined one year later to see how the situation has changed. The diagnosis is clinical: the doctor palpates the purses to check if the testicle has come down. If he is still misplaced, but the doctor feels it on palpation, he will reassure you immediately. It is a testicle "elevator": the inguinal canal has closed well, but leaves enough room for the testicle to rise slightly in its lower part (what happens when the child is agitated or worried). There is ... only to wait: the testicle will take place alone at puberty.
  • On the other hand, if it is still high enough in the canal or seems to have remained in the abdomen, the doctor will refer you to a surgeon.

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