Category: Blog

How do we evaluate the patient with undescended testis?

July 2021

In the last journey, I explained what an undescended testis is and what problems it can cause.  In this section of the pediatric surgeon's journal, I will explain how a patient with an undescended testis was evaluated. As doctors, we first listen the story with details which means we take anamnesis.  If our patient with undescended testicles is a small baby, we question whether there is an endocrine disorder during pregnancy, that is, whether...

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What is an undescended testicle? Why does it happen? Why should it be treated?

June 2021

Undescended testis is a very common problem in children.  I am going to spread this subject in a few chapters so I don’t bore you.  In this section of the pediatric surgeon's journal, I will explain what an undescended testis is, why it happens, and how it can cause problems.   When the undescended testis is mentioned among the people, it is understood that the testicle is not in the sack.  However, we call it cryptorchidism.  The...

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What is a nonpalpable testis?

June 2021

In the Pediatric Surgeon's Journal, in the previous journeys, I explained what an undescended testis is, what it can cause, how it should be evaluated, when and how it is treated. In the undescended testicle examination, we see that the sack is empty, and we can find the testicles with our hands somewhere outside the sack.  What if the sack is empty and the testicle is not palpable?   If a child's testicles are not palpable, there are three...

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Ingrown hair problem in children who sit too long during the pandemic era!

April 2021

Unfortunately, the pandemic process is still not over. Our children are still at home, motionless. They are constantly sitting at the computer. When they sit constantly, they encounter the problem of pilonidal sinus or ingrown hair in street language. I tried to describe the pilonidal sinus in the pediatric surgeon's journal. A ball of hair and skin debris accumulating under the skin in the coccyx area causes malodor, discharge, infection and...

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What are inguinal hernias and hydroceles in children?

April 2021

As you know, instead of the information you can easily find everywhere, I prepare more special blogs to answer your questions. But this time, in order to explain the answer, I need to explain what the problem is. In the journal of the paediatric surgeon this week, I will give information about what is inguinal hernia and hydrocele in children. Inguinal hernia can be seen at a rate of about 1-5% in newborn babies. In case of premature birth, this...

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Should we repair inguinal hernias in children by open surgery or laparoscopic repair?

April 2021

On our last trip, I explained what is inguinal hernia and hydrocele in children was. In this course, we will talk about how to choose which method to treat inguinal hernia. Have a good time. Let's make a short reminder first. I explained that the membrane surrounding the organs in the abdomen extends into the inguinal canal like a glove finger in order to have a hernia. If we connect this extension from where it comes out of the abdomen, we can...

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Is constipation caused by anal fissure or anal fissure caused due to constipation?

March 2021

This week, I will write about two of the commonest reasons why someone goes to paediatric surgery clinic. One is constipation, the other one is anal fissure, or street name: tear. These two disorders can be so intertwined that it can be very difficult to understand which one is in the foreground. However, we need to reveal the real reason for the treatment. In the journal of paediatric surgeon, this week we will find an answer to the question whether...

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How should we approach to perianal abscesses and fistulas in babies?

March 2021

It is not known exactly why perianal abscesses and fistulas occur. There are glands just above the anal canal that allow the stool to come out slippery. If these glands are deeply located and their canals are too thin, they can become infected due to obstructed canals. The infection can turn into an abscess, and if this abscess drains out of the skin near the anus, a canal can form between the skin and these glands. When the inner surface of the...

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Should tongue ties be treated in babies?

February 2021

Sometimes, babies cannot completely push their tongues out, that is because, the tip of their tongue cannot go beyond the gum line, even if they force their tongues out, there is a paddy on the tip of the tongue, this is also called tongue frenulum. Although it is accepted that the average is 4%, the rates still can change between 1% and 11%. So it's not uncommon. Is it a condition that needs to be treated? Its clinical importance, the need for...

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Should buried penis formed after neonatal circumcision be operated?

February 2021

I didn't know how to visualise it. Sometimes I get consulted via phone, sometimes via WhatsApp messages and photos, videos. After my residency education, I started doing a lot of neonatal circumcisions at the American Hospital. During my residency training, we did not perform any neonatal circumcision at our university hospital. Because we were so busy that we could not find time. As a matter of fact, I learned how to perform neonatal circumcision...

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