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The phenomenon of testicles on the side of the side is smaller and more common in newborns. This can be a completely normal phenomenon and can also be a disease that causes complications if not treated early and thoroughly.
What is a small testicle in a newborn baby?
What is a small testicle in a newborn baby?
Testicles on the other side are small, also known as undescended testicles, testicles are irregular. This is a phenomenon where the testicles are unequal in size, which can be high and low. This may be a normal phenomenon if it is not accompanied by symptoms such as swollen scrotum, redness, purple, fussy baby, stop feeding, …
The cause of this phenomenon may be due to the uneven development of testicles on both sides, or one testicle has descended into the scrotum, the other is still lying on the way from the abdomen. With this cause, it is necessary to monitor the baby’s condition.
More dangerously, if this phenomenon is accompanied by the aforementioned symptoms, it may be due to pathology. When the cause is testicle growth outside the scrotum, undescended testicle, etc., it is necessary to bring the baby to a medical facility for examination, to avoid complications such as testicular cancer, infertility.
Common pathologies if newborns have small testicles
Common pathologies if newborns have small testicles
Hidden testicles
The common form of the disease is if the child has abnormal testicles. An undescended testicle is when one or both testicles do not descend into the scrotum but remain inside the abdomen. This will lead to damage to physiological and sexual functions because of the high internal body temperature, which is not suitable for the testicles.
Inguinal hernia
Inguinal hernia can manifest in premature infants immediately after birth, or after several months or years, after a series of coughing and straining.
This phenomenon is due to the inguinal canal not yet closed and the viscera and intestines in the abdomen following this canal down to the groin area, creating a soft lump on the inguinal fold, which becomes enlarged when the baby cries and shrinks at normal times.
This condition requires surgery to close the inguinal canal and return the intestines and organs to their original position so that it can be completely resolved.
Membrane effusion
The inguinal canal cannot close, the peritoneal fluid overflows and accumulates in the scrotum leading to hydrocele. This condition causes the testicle on one side to be stretched and enlarged compared to the other but is not painful for the child.
The fluid can be absorbed so there is no need to worry, however, if this condition persists after 1 year of age, then surgery is needed, performing aspiration and ligation of the inguinal canal.
sperm cyst
This condition causes a baby’s scrotum to appear as a painless, round (or oval) mass underneath the testicle. This condition is called a spermatic cyst, because of its location, it often makes parents think that the testicle is large and small. The spermatic cord cyst will be cured by surgical removal.
Complications of testicles on the small side if not treated
Complications of testicles on the small side if not treated
Testicular torsion
Testicular torsion is a condition in which the testicles rotate on their own, partially or completely blocking the blood supply to the testicles. This condition causes sudden severe pain in one testicle, and the scrotum becomes red or purple.
The pain will go away in case the baby changes position, the testicles untwist on their own. But it can lead to permanent testicular damage if testicular torsion is prolonged.
strangulated inguinal hernia
Inguinal hernia due to visceral strangulation, the intestine is taken out of its original position, into the inguinal canal and cannot return to its original position. This condition can cause damage from lack of blood supply.
Causing discomfort, pain leading to fussiness, abdominal distension, painful swelling of the scrotum, vomiting. Prolonged condition is at risk of herniated visceral necrosis, testicular damage, peritonitis.
Complications of small and large testicles
Testicular membrane is damaged
Complications causing damage to the testicle membrane can occur if the condition of the testicle is not detected and treated early. Testicles stretch and sag because fluid, blood and substances inside the abdomen accumulate, leading to damage to the testicles.
Decreased sperm quality
If the condition of the testicles is not completely treated, it can affect the physiology and reproductive health. This leads to complications that lead to a decrease in sperm count and reduced quality.
Testicular cancer
This complication is quite rare in men. But babies with small testicles have a disease that is very likely to lead to testicular cancer.
The abdominal cavity has a very high temperature, causing the testicles in the abdomen to not develop well, the testicles gradually become retracted and, if unfortunately, turn malignant.
How to diagnose undescended testicles in newborns?
How to diagnose undescended testicles in newborns?
To be able to detect small testicles early in children, first of all, it is necessary to check and observe regularly from parents right from the time the child is born.
If the testicle is found to be large and small, only one side or there is no testicle in the scrotum, the testicles are swollen, painful, red, purple, the child should immediately take the child to a medical facility for examination.
When the child arrives, the doctor will perform some necessary tests to diagnose the situation. Tests that will be performed are scrotal ultrasound to identify undescended testicles, computed tomography or endoscopy, chromosomal, endocrine, tumor markers, etc.
What are the treatments for small testicles in babies?
What are the treatments for small testicles in babies?
The most radical and effective treatment for children with this condition is surgery. And the most suitable time to do it is from 6-12 months of age, because the baby’s rapid growth will help improve the function of the testicles in the best way and reduce the risk of cancer.
The surgery will bring the testicle back into place and fix it in the scrotum, so that the testicle can grow at the right temperature. In addition, there are some temporary solutions that are used while waiting for the child to be ready for surgery, such as drug or hormone therapy.
Small testicles in newborns need to be detected early by parents and caregivers. When a child has abnormal symptoms, it is necessary to take the child to a medical facility to be examined and treated by a doctor as soon as possible, in order to ensure sexual functions and reduce the risk of cancer.
Above is an article about the phenomenon of small and large testicles in babies. Hope that has brought a lot of really useful information to you.
Source: Vinmec
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