CRYPTORCHIDISM, TESTICULAR ATROPY SLIDE SHARE, DEVELOPED FOR B.SC N II YEAR STUDENTS

PATHOLOGY
BY SOFIYA MOHAN
LECTURER
M.SC NURSING

1. CRYPTORCHIDISM

2. It is the failure of the testis to descend into the scrotum from its normal abdominal position. It is most commonly unilateral and sometimes bilateral.

3. ETIOPATHOLOGY 70% cases testis lies in inguinal ring 25% cases in the abdomen 5% at other site

4. Exact etiology is unknown Mechanical factors: short spermatic cord, narrow inguinal canal, adhesions to the peritoneum. Genetic factors: Trisomy , Maldevelopment of scrotum. Hormonal factors: deficient androgenic secretions ,

5. MORPHOLOGY Gross: The cryptorchid testis is small in size, firm, fibrotic. Histologically : The histologic change is related to the age Birth to 5 years: Seminiferous tubule diameter is reduced.

6. Decreased number of germ cells , spermatogonis and spermatids . Thickened hyaline, stromal fibrosis Leydis cells are spared.

7. CLINICAL FEATURES Infertility Inguinal hernia Risk of malignancy TREATMENT Orchiopexy is done before 2yrs of age

8. TESTICULAR ATROPY

9. It is a medical condition in which the male reproductive organs (the testes, which in humans are located in the scrotum) diminish in size and may be accompanied by loss of function.

10. ETIOLOGY Progressive atherosclerotic narrowing of the blood supply in old age. Inflammatory orchitis Cryptorchidism Hypopituitarism Malnutrition Irradiation Failure of development of testis

11. MORPHOLOGIC CHANGE Both gross and microscopy are same as Cryptorchisism .