title: The place of the technique of narrowing neck of the dartos pouch on the ascent of testis after surgery.
abstract: OBJECTIVE
  We aimed to compare the three techniques of dartos pouch orchiopexy, suture fixation to the scrotal wall and narrowing of the neck of pouch with or without suture fixation, in regard to the postoperative ascensus of testes.
  
  
  METHODS
  We operated on 150 unilateral palpable undescended testis with the scrotal pouch orchiopexy technique. In this prospective study, patients were randomly divided into three groups: Testes were fixed to the scrotal wall in the first group, they were placed into the scrotal pouch without fixation but the neck of the dartos pouch was narrowed around the vas deferens and the vessels in the second group and testes were fixed to the scrotum with a suture and the dartos fascial opening was narrowed concomitantly in the third group.
  
  
  RESULTS
  Patients were followed between 6 and 48 months (28.0 +/- 11.4). Only four testes of the first group (8.0%) were replaced upward after the operation where all the other two groups' testes were in their places.
  
  
  CONCLUSIONS
  We believe that only narrowing of the dartos fascia around the vas deferens and vessels without fixation to the scotum prevents ascending of the testis upward after orchiopexy operations. We think this technique decrease the risk of supposed damage to the testicular tissue due to suture material.
authors.affiliation: Baskent University Faculty of Medicine, Department of Pediatric Surgery, Ankara, Turkey. serdara@baskent-ank.edu.tr
authors.forename: I S
authors.initials: IS
authors.lastname: Arda
authors.forename: E
authors.initials: E
authors.lastname: Ersoy
mesh_terms: D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D011446:Prospective Studies; D013737:Testis / Q000254:growth & development*; D013520:Urologic Surgical Procedures / Q000379:methods*