Sex

Important information about microcalcification in the testicle

What do you know about the microcalcification disease in the testicle and what are the treatment methods for it? What are the symptoms and what measures can be taken to protect the affected person from getting it? infect?

The accumulation of calcium particles inside the testicular tissue is called testicular microcalcification. This disease is usually discovered during ultrasound of the testicle, which is prescribed for another purpose, and it does not have any specific clinical symptoms. In recent years, this disease has gained special importance and many patients go to specialist doctors due to having it.

The reason for the presence of sand in the testicle tissue is not known and each testicle consists of about 200-300 spermatogenic tubes. If calcium is deposited inside these tubes, it is called microcalcification of the testicles, which increases and accumulates more calcium and causes gravel formation.

Testicular microcalcifications are usually numerous and spread throughout the testicle and are easily detected by ultrasound. The reported prevalence of this disease is very different and sometimes varies from 1-11% and the prevalence of this disease is higher in black people. Usually, in those who have sand grains inside the testicle tissue, its prevalence is also higher in other tissues such as lungs and nervous system.

This disease is not specific to a certain age
Some researchers have proposed the genetic cause of its occurrence, but recently it has been found that in people with testicular microcalcification, the mutation in the SLC34A2 gene, which is located on chromosome 15, plays a role in its occurrence.

This disease is not specific to a certain age and is seen from childhood to old age, although the occurrence of this complication is rarely seen before puberty and in men over 60 years old. Testicular microcalcification is usually bilateral and asymptomatic, sometimes a patient with testicular pain goes to a specialist doctor, therefore, in the differential diagnosis of the causes of testicular pain, testicular microcalcification should also be considered.

In recent years, the results of several reports show that the presence of sand inside the testicle tissue makes it prone to cancer. Because most cases of testicular microcalcification are diagnosed by ultrasound for another reason, such as testicular pain. For this reason, some people believe that there is a weak relationship between the presence of sand inside the testicular tissue and cancer.

Patients with intratesticular sandblasts are divided into several groups
Patients who have sand inside the testicle tissue are divided into several groups, each of which requires specific measures.

In one group of patients, the individual has sand grains inside the testicular tissue, but does not have symptoms or other risk factors for testicular cancer. In these patients, no additional measures are needed, but they should be examined by a doctor annually. One of the most important symptoms of testicular cancer is the presence of a palpable mass inside the testicular tissue.

In another group, patients have symptoms and other risk factors for testicular cancer. One of the most important risk factors for testicular cancer is the history of undescended testicles. If the undescended testicle is affected by microcalcification, it needs further investigations. Some doctors recommend biopsy or sampling in these patients.

In another group, intratesticular calcification is limited to one part. As mentioned earlier, testicular microcalcification is widespread and usually bilateral, but in some cases, due to various reasons, this disease is limited to one part of the testicle. The most important causes of limited testicular calcification are inflammation such as infection, tuberculosis, etc., vascular disease such as vasculitis or local vascular obstruction in the testicle, cancer and remnants of the adrenal gland in the testicle.

Therefore, due to the fact that patients are divided into several groups, first of all, after the necessary examinations and investigations, it should be determined in which group the person belongs, so that the necessary treatment measures can be taken based on that.

* Dr. Mohammadreza Safarinejad, urologist and university professor

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