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Orchiectomy for 3-year-old boy

Children’s Hospital 1, Ho Chi Minh City, had just undergone surgery to remove a necrotic testicle for a boy.

Doctor Ho Trung Cuong, Department of General Surgery, Children’s Hospital 1, Ho Chi Minh City, said that this place had just performed an orchiectomy for a 3-year-old boy.

Accordingly, late on May 31, the patient was admitted to the hospital because of a painful inguinal bulge. The baby’s mother said that the baby had a stomach ache a few days ago, but not much. When the baby complained of too much pain, the mother pulled her pants to check and found a bulge in the groin area, so she took her child to the hospital in the night.

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One of the baby’s testicles was necrotic. Illustration.

Through examination, the doctor found that the baby lacked a testicle on one side of the scrotum, so he thought it might be hidden testicular torsion. Ultrasound results confirmed the above diagnosis and did not show testicular perfusion. The patient quickly underwent emergency surgery.

Doctors untwisted and waited, but the testicle still could not recover. Then, the team forced to remove the necrotic testicle, and at the same time fixed the other side to prevent torsion in the future.

“Unfortunately, the family knew that the baby had an undescended testicle before, but loved the child so much that they were afraid to operate. That leads to very sad consequences, “said Dr. Cuong.

Doctors say that, during the embryonic period, the testicles are located in the abdomen and gradually move down to the scrotum. A condition where a testicle is not visible in the scrotum, known as an undescended testicle or undescended testicle, is quite common in boys.

At that time, the child needs surgery, bringing the testicle down to the scrotum at the age of 6 months by laparoscopic or open surgery. If the intervention is delayed, it will affect the development of the testicles, possibly complications to testicular atrophy or malignant metaplasia.

Meanwhile, testicular torsion occurs when the blood vessel feeding the testicle is twisted, affecting the perfusion, if not operated in time, it will cause testicular necrosis and must be removed.

Doctor Cuong recommends that parents should pay attention to observe the baby’s genitals, because they are often hidden behind diapers or pants, so they are less concerned. “Any abnormality, even the smallest, should take the baby to a doctor for advice,” added Dr. Cuong.

Linh Giao

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