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[2](https://mc21.ru/articles/kriptorkhizm-u-detey/). \n* **Двусторонний крипторхизм** — оба яичка не опустились в мошонку и находятся в брюшной полости или паховых каналах [2](https://mc21.ru/articles/kriptorkhizm-u-detey/). \n\nВ норме яички опускаются в мошонку к моменту рождения, но у недоношенных детей и некоторых доношенных этот процесс может не завершиться [5](https://mamadeti.ru/zabolevaniya/kriptorhizm-d/).\n\n\n\n## Причины\nТочные причины развития крипторхизма до конца не изучены [1](https://www.fdoctor.ru/bolezn/kriptorkhizm/). Некоторые факторы, которые могут способствовать развитию патологии: \n* **Эндокринные заболевания матери или плода** — например, врождённый гипотиреоз [1](https://www.fdoctor.ru/bolezn/kriptorkhizm/). \n* **Анатомические особенности строения паховой области и мошонки** — недоразвитие мошонки, узкий паховый канал или короткий семенной канатик затрудняют нормальное опущение яичек [2](https://mc21.ru/articles/kriptorkhizm-u-detey/). \n* **Генетическая предрасположенность** [1](https://www.fdoctor.ru/bolezn/kriptorkhizm/). \n\nВ отдельных случаях крипторхизм носит приобретённый характер — например, после травмы, воспаления или операций (например, по поводу паховой грыжи) [1](https://www.fdoctor.ru/bolezn/kriptorkhizm/).\n\n## Симптомы\n**Основной симптом** — отсутствие одного или обоих яичек в мошонке [1](https://www.fdoctor.ru/bolezn/kriptorkhizm/)[4](https://centr-hirurgii-spb.ru/diseases/kriptorhizm/). Мошонка может казаться сморщенной или деформированной, на её коже оказывается меньше складок, и она кажется менее эластичной [1](https://www.fdoctor.ru/bolezn/kriptorkhizm/). \n\nИногда встречается **ложный крипторхизм**, при котором яичко не остаётся всё время в мошонке, а периодически поднимается в брюшную полость и опускается обратно [1](https://www.fdoctor.ru/bolezn/kriptorkhizm/).\n\n## Диагностика\n**Окончательный диагноз ставится только врачом** [4](https://centr-hirurgii-spb.ru/diseases/kriptorhizm/). Некоторые методы диагностики: \n* **Физикальный осмотр** — врач пальпирует мошонку и паховые области, чтобы определить наличие и расположение яичек [13](https://yandex.ru/medicine/disease/kriptorhizm). \n* **Ультразвуковое исследование (УЗИ)** — позволяет определить расположение яичка, а также оценить его размеры, структуру и кровоснабжение [13](https://yandex.ru/medicine/disease/kriptorhizm). \n* **Магнитно-резонансная томография (МРТ)** — применяется в случаях, когда УЗИ не даёт точных данных о расположении яичка [13](https://yandex.ru/medicine/disease/kriptorhizm). \n* **Лапароскопия** — минимально инвазивная процедура, включает введение специальных инструментов и видеокамеры через маленькие разрезы в брюшную полость [13](https://yandex.ru/medicine/disease/kriptorhizm).\n\n## Лечение\n**Терапия необходима только при истинной форме** [14](https://www.sm-eko.ru/diseases/kriptorhizm/). 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