Functional possibilities at postpubertal cryptorchidism in men and treatment of this condition

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dc.contributor.authorBayraktar, Vasyl M.en
dc.contributor.authorБайрактар, Василь Миколайовичuk
dc.date.accessioned2025-06-13T17:15:46Z
dc.date.available2025-06-13T17:15:46Z
dc.date.issued2025
dc.description.abstractCryptorchidism, the most prevalent congenital condition involving male genitalia, is characterized by the absence of at least one testicle from the scrotum. This often manifests unilaterally or bilaterally, with a higher frequency of involvement observed in the right testicle. In addition, fertility disorders may occur, and are commonly ascribed to the harmful effects of the undescended testis on the contralateral one, or to related immunologic reactions. A surgical approach such as orchiopexy is recommended for testes that remain undescended after six months of age. Orchiopexy is the most common surgery to fix a single undescended testicle. It has a success rate of nearly 100%. Most of the time, the risk of fertility problems goes away after surgery for a single undescended testicle. Surgery with two undescended testicles brings less of an improvement. Contrary to cryptorchidism in children, orchiectomy has been mainly recommended for cryptorchidism in adults, because of the increased probability of neoplasms. In adult cryptorchid sufferers less frequently than pediatric patients. Therefore, the clinical characteristics of and therapeutic options for cryptorchidism in adults are not well established. Cryptorchidism is a congenital developmental anomaly, as a result of which the testicles do not descend into the scrotum, but are localized in the abdominal cavity or inguinal canal. The disease can occur on one side or involve both testicles. Without timely and adequate treatment, cryptorchidism in adults can lead to serious consequences. One of the main risks is infertility, since the testicle remains in the abdominal cavity or inguinal canal, where the temperature is higher than in the scrotum, which negatively affects the development of sperm. Removal of two testicles leads to complete infertility, removal of one leads to a decrease in testosterone production and minor fluctuations in a man’s hormonal background. The left testicle is larger than the right. The differences between the paired genitals should be minor. In an adult man of average build, the testicles should be approximately 4-6 cms long and 2-3 cms wide. For adult men, treatment of cryptorchidism is also based on surgical intervention. Orchiopexy helps to correctly position the testicle and reduce health risks. In case of hormonal disorders, such as testosterone deficiency, hormonal therapy may be prescribed to stimulate spermatogenesis and improve the production of healthy sperm. Undescended testicles may develop structural abnormalities such as fibrous changes or atrophy, further impairing their ability to produce viable sperm. Therefore, timely diagnosis and treatment of cryptorchidism is extremely important for maintaining a man's reproductive health.en
dc.identifier.citationBayraktar V. M. Functional possibilities at postpubertal cryptorchidism in men and treatment of this condition / V. M. Bayraktar // Українська школа ендокринології : матеріали наук.-практ. конф. (Харків, 5–6 черв. 2025 р.). – Харків : ДУ ІПЕП, 2025. – С. 20–22.en
dc.identifier.urihttps://dspace.onu.edu.ua/handle/123456789/41692
dc.language.isoen
dc.publisherІнститут проблем ендокринної патології ім. В. Я. Данилевського Національної академії медичних наук Україниuk
dc.subjectcryptorchidismen
dc.subjecttestosteroneen
dc.subjectgonadopropine chorionicen
dc.subjectpostpubertat perioden
dc.titleFunctional possibilities at postpubertal cryptorchidism in men and treatment of this conditionen
dc.typeArticleen
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