Ten-year-old boys with bilateral cryptorchidism can be considered for treatment through hormone therapy, open surgery, laparoscopic surgery, and autologous testicular transplantation.
1. Hormone therapy: When accompanied by hypothalamic-pituitary-gonadal axis abnormality, hormone therapy can be used, and some children’s testicles will drop after treatment. However, the use of human chorionic gonadotropin to increase blood supply in preparation for surgery is generally recommended for non-palpable cryptorchidism.
2. Open surgery: If the cryptorchid testis is palpable and the spermatic cord vessels are of sufficient length, open surgical fixation of the descending testis can be performed, or ligation of the sheath if there is an unclosed sheath.
3. Laparoscopic surgery: laparoscopic exploration is required in all cases where the testis is not palpable or when there is a suspicious diagnosis, but it is not used in cases where there are coagulation abnormalities, acute infections, history of previous abdominal surgeries, or suspected peritoneal adhesions.
4. Autologous testicular transplantation: In case of high cryptorchidism, autologous testicular transplantation may be used.
Even with regular treatment, children with bilateral cryptorchidism may have significantly lower fertility in adulthood compared with unilateral cryptorchidism and the normal population, so parents should pay enough attention to this. If a child is found to have cryptorchidism, he or she should seek prompt medical attention.