Lecture on Reproductive Issues

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Defects of Genitourinary Tract ● •Obvious at birth ● •Early correction of visible genital defects ○ – preferably w/o multiple-stage repairs ● •Surgery involving sexual organs ○ ... •particularly disruptive to preschoolers Cryptorchidism ● Undescended testes ● Most common congenital testicular condition ● May occur bilaterally or unilaterally - looks like empty sac or no sac ● May be cause of infertility ○ if corrective surgery not done by 2 years of age ● Incidence of testicular cancer higher ○ if condition not corrected before puberty ● Clinical Manifestations: ○ Not seeing or feeling a testicle where you would expect it to be in the scrotum is the main sign of an undescended testicle. ● Testicles form in the abdomen during fetal development. During the last couple of months of normal fetal development, the testicles gradually descend from the abdomen through a tube-like passageway in the groin (inguinal canal) into the scrotum. With an undescended testicle, that process stops or is delayed. ● Therapeutic Management ○ surgery performed to locate & suture testis or testes to scrotum ■ Orchiopxy surgery - Orchiopexy (or orchidopexy) is a surgery to move an undescended (cryptorchid) testicle into the scrotum and permanently fix it there. Orchiopexy typically also describes the surgery used to resolve testicular torsion. Usu performed 6-24 months of age ● Sac/Scrotum protects testicle from heat, overheating can cause infertility, damage ● -Delay in potty training (beyond 2 years), high h [Show More]

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