The importance of checking the testicles of a newborn baby
Parents who have a baby boy should have their baby’s testicles checked by a pediatrician from birth and make sure that their shape and position are normal in the baby’s scrotum, otherwise, if there is an abnormality in that area, there is a risk of sterility and infertility. It threatens their baby.
A kidney and urinary tract specialist spoke about a congenital complication for male babies, which parental neglect and not treating it before the age of one year causes them to become sterile.
Ali Hamidi Madani, kidney and urinary tract specialist stated: undescended testicle is one of the most common congenital abnormalities in boys, which must be treated by one year of age.
He pointed out: Normally, 34 people out of every 1000 babies or 3.4% of the boys who are born are associated with this complication at birth, the lower the weight of a baby boy at birth, or if he was born prematurely. May the chance of this happening to him be greater.
Hamidi Madani added: In the vast majority of babies who are suffering from this condition, during the first 3 to 6 months after birth, the testicle descends by itself at the same time as the baby grows and develops, and if it does not descend in a boy at the end of the first year of birth, it is necessary There is a treatment to correct this abnormality.
This kidney and urinary tract specialist added: when the baby is in the fetal period inside the mother’s womb, the testicles are located inside the abdomen and in the vicinity of the kidneys, and over time, as the child’s age increases, the kidneys climb up until they are in the position They are placed naturally and are separated from the neighborhood of the kidneys and enter the pelvis in a natural way, then they enter the inguinal canals in the groin to enter the bag through this path.
He said: due to many reasons, which are usually hormonal, in some cases, its downward movement stops and the child born will have one testicle in the sac or no testicle in the sac. If the child’s age reaches one year and the testicle is not inside the sac, it needs definitive treatment.
Explaining the reasons for the need to treat this condition, this kidney and urinary tract specialist said: From 1.5 years of age, irreversible changes occur in undescended testicle cells, and these changes will increase the risk of infertility in boys in the future.
Hamidi Madani noted: Several complications may occur in relation to this condition, one of which is the increased risk of testicular cord twisting. This is a very acute and painful process and has a golden time of 4 to 6 hours. If this condition is not correctly diagnosed and not corrected, the testicle will be destroyed, and this will happen more in undescended testicles.
He added: The second complication that threatens these children is an increase in the risk of developing testicular cancer, which means that these people will have a risk of developing cancer approximately 6 to 8 times that of the normal population, and according to some, 10 to 12 times that of the normal population, because these people Mothers have a defective sexual structure.
This kidney and urinary tract specialist added: The third complication that threatens these children is infertility, which is not much more common in the form of unilateral undescended testicles than other normal people in society, but in the case of bilateral undescended testicles, it occurs in 50% of possible cases. It causes infertility in a person.
Hamidi Madani added: Since irreversible changes in the germ cells in this condition occur from 1.5 years of age, a 1.5-year-old boy should not be left untreated, for this reason, it is recommended in all scientific schools of the world when they encounter a boy with undescended testicles. which has passed the first 6 months of birth, the treatments should be started in such a way that by the end of the first year, the task of this disease is clear that surgery will do this.
This kidney and urinary tract specialist emphasized: it should be lowered using surgery. Sometimes the scrotum may be short, in which case treatment and surgery are done in two stages, that is, we postpone a surgery to an older age and lower it.
He said: In general, the surgery should have been done at the end of the first year of birth and this testicle should have been placed in its natural position inside the sac.
Hamidi Madani added: In mammals and warm-blooded creatures, the testicles are located inside the abdomen, but in humans, they are located inside a bag outside the body because the temperature inside the bag is one degree Celsius lower than the temperature of the center of the body, and in other words, the bag is one degree cooler.
This expert pointed out: This coolerness is the reason for its natural function, which means that later, when the baby matures and gets married, he will do a better job in terms of sperm production in this cool environment, so its presence inside the sac is the law of nature, and the child’s testicles must be in a year old is placed inside the bag.
Hamidi Madani said: “Unfortunately, many doctors and colleagues are worried that the anesthesia caused by surgery is harmful for the child, while the baby’s liver acts like an adult when dealing with anesthetic drugs after 6 months.”
He added: Therefore, no danger will threaten this child in terms of anesthesia, except in special cases, in which case the anesthesiologist suggests that this surgery be performed at an older age if there is a disease.
This kidney and urinary tract specialist emphasized: Since this surgery requires anesthesia, this surgery is not performed in children younger than 6 months, because anesthesia selectively causes problems in children under 6 months, so the treatment should be done after 6 months to one year of age. Did.
Fars
April 11, 2015 21:27
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