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.
Youngson
G G
GG
Department of Surgery, Royal Aberdeen Children's Hospital, Scotland.
Jones
P F
PF
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