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CRYPTORCHIDISM


Semir A. S. Al Samarrai

 

Cryptorchidism is one of the most common malformations occurring in males. The presence of maldescent is most easily determined at birth when the scrotum is relatively large and there is a minimum of subcutaneous fat.

In a premature infant, the incidence approaches 30 percent, in the full term infant 3.4%, and at 1 year of age 0.8%, which is the same as that seen in the adult population. In 10% of patients with cryptorchidism, the defect is bilateral, and, in 3 percent, at least one testis is absent.

Therapeutic intervention in cryptorchidism can take the form of either hormonal manipulation or surgery. The ideal time for surgery appears to be between 1 and 2 years of age. The basic goal of surgical treatment is adequate mobilization of the testis and spermatic vessels for scrotal placement.

In a high percent of palpable undescended testis, the standard technique of Orchidopexy is highly effective. By your child, the testis seem to be located high in the canal or at the external ring of the groin. By a single testis, a surgical scrotal placement is possible and easy to achieve without any complication or danger to the testis.

We advise all the parents to let the child undergo urological examination for diagnosis and therapeutic intervention when the parents observe the aforementioned disorders.

Correspondence:
Prof. Dr. SEMIR AHMED SALIM AL SAMARRAI
Professor Doctor of Medicine-Urosurgery, Andrology, and Male Infertility
Dubai Healthcare City, Dubai, United Arab Emirates.
Mailing Address: Dubai Healthcare City, Bldg. No. 64, Al Razi building, Block D,
2nd floor, Dubai, United Arab Emirates, PO box 13576
Email: fmcalsam@emirates.net.ae