Effective and painless Treatment of testicular hypoplasia in Tashkent under the supervision of the most experienced urologists of Uzbekistan from the multidisciplinary clinic Gatling Med.
Testicular hypoplasia is a congenital underdevelopment of one or both testicles, leading to androgen deficiency. Testicular hypoplasia is accompanied by a decrease in the size and asymmetry of the scrotum, small penis size, impaired puberty, pseudogynecomastia, decreased libido, impotence, and male infertility. The diagnosis of testicular hypoplasia is based on examination and palpation of the scrotum, the results of ultrasound of the scrotum, spermogram, and the study of the level of total and free testosterone. Treatment of testicular hypoplasia includes hormone replacement therapy, prosthesis of an underdeveloped testicle, transplantation of a donor organ.
Causes of testicular hypoplasia
Testicular hypoplasia occurs as a result of a violation of their formation in the early stages of embryogenesis. The earlier the damage occurs, the more pronounced is the degree of the defect. Normally, the gonads develop from two germinal structures: the Wolffian and Müllerian ducts at the indifferent stage of gestation. Normal differentiation of the gonads occurs in accordance with the genetic sex of the fetus.
Predisposing factors for the development of testicular hypoplasia are the pathological course of pregnancy, hormonal imbalance, the impact on the body of a pregnant woman of various teratogenic factors, damage to the central nervous system of a child during difficult births. Sometimes testicular hypoplasia is combined with hypoplasia of other endocrine organs.
Symptoms of testicular hypoplasia
Testicular hypoplasia is often asymptomatic and is discovered incidentally when a patient consults a urologist about an infertile marriage. With testicular hypoplasia, the scrotum looks smaller than normal due to a decrease in the size of one or both glands, ranging from 0.5-0.7 to 2.5 cm. Hypoplasia of the epididymis and prostate gland is also characteristic.
The main symptom of testicular hypoplasia is hormonal imbalance; the severity of the pathology is determined by the degree of decrease in testosterone. With unilateral testicular hypoplasia, due to compensatory mechanisms, the second healthy gland takes over part of the functions, so the level of hormones changes slightly. At the same time, a healthy testicle noticeably increases in size. With a small degree of testicular hypoplasia, spermatogenesis proceeds normally, and a man is able to conceive a child on his own.
Testicular hypoplasia occurs with alcoholic embryofetopathy, hypogonadism, tumors of the adrenal glands (corticosteroma), various syndromes (Klinefelter, Ahlstrom-Olsen, Shereshevsky-Turner, Bard-Biedl, etc.), pituitary dwarfism, epispadias. Testicular hypoplasia can lead to serious consequences: male infertility, atrophy and degeneration of the testicles, the development of prostatitis, malignant tumors (testicular cancer).
Treatment of testicular hypoplasia
The treatment regimen for testicular hypoplasia is based on hormone replacement and stimulation therapy. With a unilateral lesion, regular monitoring of the hormonal status may be required, testosterone preparations are prescribed according to indications. With bilateral testicular hypoplasia, replacement and stimulatory hormone therapy is also necessary, which makes it possible to achieve the normal development of secondary sexual characteristics in adolescents.
The Tashkent clinic "Gatling-med", equipped with the latest medical technologies and highly qualified doctors, is ready to answer all your questions, as well as provide proper treatment at affordable prices and in the shortest possible time.