Cryptorchism is the Main Cause of Male Infertility (Review)

Abstract

The frequency of occurrence of cryptorchidism in children is presented. The leading methods of diagnosis and treatment of congenital pathology are considered, first of all ultrasound examination, the reliability of which reaches 88% when the testicle is palpated.

Relevance. Currently, there are about 250 methods of surgical treatment of an organ position anomaly. The most widely used ones are Petriwalsky-Shoemaker and Fowler-Stephens, which are performed in one or two stages. In some cases, hormone therapy is resorted to using chorionic gonadotropin, less often gonadotropin-¬releasing hormone, but the effectiveness of this therapy does not exceed 15% and depends on the height of the testicle in the inguinal canal. With agenesis (aplasia), testicle prosthetics are performed with silicone implants in order to eliminate the psychological and cosmetic defect. When analyzing the results of correction of pathology in patients, there is a violation of fertility up to 50%, even with timely reduction of testicles. Preventive examinations of adolescents, dispensary monitoring of a group of operated patients with the appointment of ultrasound examinations and the study of hormonal status will help to increase the reproductive potential of the male population.