• 5 months ago
Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G, enlightens a mother on why her two-month-old baby has an abnormal development of the testicle and how the condition can be treated.

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Transcript
00:00 Hello, welcome to a new month of June and welcome to another new series of putting Dr. G on the spot
00:06 focusing on
00:09 pediatric urological conditions. For the first episode, we're really going to talk about
00:14 undescended testicles. So why would the testicle descend and how does it get stuck?
00:27 So if you imagine that when a child is being developed inside the womb and that progression takes place
00:35 initially up to the month of seventh month's gestation, the testicle in a boy actually is in the
00:43 abdomen itself. As the body gets longer, the testicle will descend into the scrotum.
00:49 The whole idea of that is the testicle needs to be one degree
00:54 less warm than the core temperature and that will assist the production of sperms and production of testosterone.
01:02 So clearly if somebody is having undescended testicle,
01:06 it's problematic because that itself will impair the production of sperms and also testosterone.
01:13 So under what circumstance will a child having undescended testicle?
01:18 Well, if the child is premature then
01:22 undescended testicle is quite common. Apart from that, there are also other conditions such as during the descent, the
01:30 testicle got stuck. So there are effectively two types of undescended testicle.
01:35 One is a type that is caused by an inguinal hernia. The hernia itself
01:41 actually somehow create a false track or
01:45 alternatively, it is a condition called by ectopic testicle.
01:50 So along the path of descent, the testicle got stuck and that can be anywhere between the groin and
01:57 also the scrotum itself.
01:59 When this happens, actually it's something quite serious because a
02:04 child with undescended testicle may grow up to have higher risk of getting testicular cancer by
02:12 50 times. So as a result, it is
02:16 advisable for the testicle to be brought down to the scrotum and it's a process called
02:22 orchidopexy. This process itself is actually quite a simple operation.
02:27 However, if it's done early enough, then the child will have
02:32 significantly less problem of infertility.
02:34 However, the risk of testicular cancer is also quite high and therefore a child will be advised to in the future do
02:43 testicular self-examination to avoid problems of testicular cancer.
02:48 For next week's episode, we're going to talk about another condition, which is quite common
02:54 amongst boys when they have a condition called hypospadias.
02:59 If that happens, what will be the consequences? So stay tuned for next week's Putting Dr. G on the Spot.
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