Males with wrongly positioned testis prone to cancer – Urologist

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Professor of Urology in the Faculty of Medicine, University of Calabar, Paul Ekwere, tells EMMANUEL OJO about the diagnosis and management of monorchidism; a condition that leaves a male with one testicle

Well, if the child is premature, a large number of premature male child are born with the testicle not well descended. Descent of the testicle happens in the seventh month of gestation. If there has been any delay and that child is born prematurely, you can imagine that there won’t be any descent.

Are there side effects that can come up from the intervention by the doctors surgically or hormonally? Of course, every surgery has its possible complications and all that, which in modern times, are really insignificant and if an inexperienced person handles it, it can end up fixing the testicle and it is too tight and when that happens, you may actually destroy the testicle if it is handled by an inexperienced person because he implants it in the scrotum and make the cord very tight.

The trouble is that that testicle may become injured due to its position and it may develop into something we call ‘anti-sperm antibodies’, which is the body developing a system, which recognises its own tissues as if it is a foreign tissue and it goes ahead to attack it.

On the other hand, you may examine the patient and still not find it. So, we may resort to what we call imaging techniques. One of them is using ultrasound machine, what a layman refers to as scanning. It is an ultrasound machine that we use to see if we can locate the testicle anywhere in the body, including on the inside of the abdomen, towards the back; so, that’s the thing. If we cannot find it on ordinary ultrasound, then we go up higher to what we call CITI scan or MRI.

 

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Males with wrongly positioned testis prone to cancer – UrologistProfessor of Urology in the Faculty of Medicine, University of Calabar, Paul Ekwere, tells EMMANUEL OJO about the diagnosis and management of monorchidism; a condition that leaves a male with one testicle
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