Patient's question:
My son is about to turn one year old. His right testicle has not descended, and it cannot be felt with the hand. A few days ago, a color Doppler ultrasound showed that it was located in the right inguinal canal, and its development is not good. How should it be treated?First follow-up question: A doctor suggested that I use some androgens. If I do, will it have any impact on the child?
Doctor's answer:
The treatment of undescended testicles should include hormone therapy and surgical therapy. (1) Hormone therapy primarily uses HCG (human chorionic gonadotropin). The principle is to maintain a persistent and stable serum HCG concentration to stimulate Leydig cells to secrete sufficient testosterone, promoting the descent of the testicles. Within 6 months after birth, there is a possibility that the undescended testicles may descend into the scrotum. After 6 months, hormone therapy should be considered. The optimal treatment age is within 2 years.