title: Natural course of undescended testes after inguinoscrotal surgery.
abstract: OBJECTIVE
  The purpose of the study is to study the natural course of undescended testes after inguinoscrotal surgery.
  
  
  METHODS
  From 2003-2010, 24 boys were observed with 26 undescended testes after inguinoscrotal surgery; 12 had previously undergone inguinal hernia repair and 12 orchidopexy. Spontaneous descent was awaited and (re-)orchidopexy would only be performed in case of non-descent at puberty. The boys were assessed annually for testis position and for testis volume as measured by ultrasound.
  
  
  RESULTS
  At the end of the study period, 19 testes had reached scrotal position; of these, 13 (68%) had descended spontaneously and 6 (32%) had been (re-)orchidopexied. No difference was found in the rate of spontaneous descent after previous orchidopexy or inguinal hernia repair (P=0.419).
  
  
  CONCLUSIONS
  Spontaneous descent of undescended testes after inguinoscrotal surgery occurs regularly. In this study, it was observed in two out of every three cases.
authors: Pediatric Surgical Center of Amsterdam, Amsterdam, The Netherlands. Electronic address: annebeth25@hotmail.com.
authors: Annebeth
authors: A
authors: Meij-deVries
authors: Laszla M
authors: LM
authors: van der Voort
authors: Karlijn
authors: K
authors: Sijstermans
authors: Robert W
authors: RW
authors: Meijer
authors: Evelyn M
authors: EM
authors: van der Plas
authors: Wilfried W M
authors: WW
authors: Hack
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism / Q000209:etiology* / Q000601:surgery; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000601:surgery; D059685:Herniorrhaphy; D006801:Humans; D008297:Male; D056126:Orchiopexy; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications / Q000601:surgery; D012075:Remission, Spontaneous; D012086:Reoperation
keywords: Inguinoscrotal surgery; Spontaneous descent; Undescended testis