IMPROVING THE RESULTS OF DIAGNOSIS AND TREATMENT OF CRYPTORCHIDISM IN CHILDREN
Abstract
Cryptorchidism is one of the most common congenital anomalies of the male reproductive system and is characterized by the failure of testicular descent into the scrotum. This condition leads to impaired microcirculation, vascularization, and thermoregulation of the testicular tissue, resulting in degenerative changes, suppression of spermatogenesis, and an increased risk of infertility. According to the literature, the incidence of cryptorchidism ranges from 1.6% to 9% in full-term newborns and reaches up to 30% in preterm infants. Delayed medical consultation, late diagnosis, and inappropriate treatment strategies significantly worsen therapeutic outcomes. Aim of the study: To improve the outcomes of cryptorchidism treatment in children through early diagnosis and a comprehensive therapeutic approach. Materials and methods: From 2020 to 2025, 253 patients aged from 8 months to 17 years with various forms of cryptorchidism were examined and treated at the In the urology department of the Andijan Regional Children's Multidisciplinary Medical Center. Diagnostic methods included Doppler ultrasonography, multislice computed tomography (MSCT), magnetic resonance imaging (MRI), and diagnostic laparoscopy when indicated. All patients underwent clinical and laboratory investigations; in cases of non-palpable gonads, serum sex hormone levels were additionally assessed. Results and conclusion: The results demonstrate that early detection of cryptorchidism and a differentiated surgical approach contribute to the preservation of gonadal function and reduction of postoperative complications. Timely application of minimally invasive endoscopic techniques significantly decreases the incidence of testicular atrophy, retraction, and the risk of infertility.
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