Management of the impalpable testis: long-term results of the preperitoneal approach.
During a 12-year period 396 operations for undescended testes were carried out by one surgeon. In 90 boys the testis was impalpable, and exploration was performed using a muscle-splitting preperitoneal approach. Testicular volume and location were prospectively recorded at 3 months and 1 year, 94% were intrascrotal at 1 year and 84% were judged to have grown. At late follow-up 6 to 16 years (mean, 11 years) after ochidopexy, 81% of testes were in the scrotum and 57% were of normal volume. The value and advantages of this operative approach and its place in the management strategy of the impalpable testis are discussed.
Department of Surgery, Royal Aberdeen Children's Hospital, Scotland.
G G
GG
Youngson
P F
PF
Jones
D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D008722:Methods; D013737:Testis / Q000473:pathology