title: [Congenital undescended testis: Should open processus vaginalis have any impact on the elected surgical approach?]
abstract: OBJECTIVE
  Compare the position of the undescended testis at clinical examination and under general anesthesia with the patency of an open processus vaginalis.
  
  
  METHODS
  We included children from 2 to 18 years of age operated for a unilateral or bilateral undescended testis between January 2006 and April 2014 at the Annecy Genevois hospital, France. The analysis was conducted considering that the individual was the testis. Testicular position before surgery, under general anesthesia and patency of open processus vaginalis as a surgical finding were prospectively recorded.
  
  
  RESULTS
  Three hundred and six children were included. The analysis was conducted over 401 testes. The position at clinical examination was significantly linked to a persistent open processus vaginalis (P=0.0045). Over the 282 testes considered as candidate for Bianchi's procedure, as to say intra- or supra-scrotal under general anesthesia, 154 had a persistent processus vaginalis (55%).
  
  
  CONCLUSIONS
  There is a link between a persistent processus vaginalis and the location of the undescended testis which should encourage us not to neglect the inguinal approach, and eventually to question the relevance of Bianchi's procedure.
  
  
  METHODS
  4.
authors.affiliation: Département de chirurgie urologie, CHU de Grenoble, avenue Maquis-du-Grésivaudan, 38700 La Tronche, France. Electronic address: ebey@chu-grenoble.fr.
authors.forename: E
authors.initials: E
authors.lastname: Bey
authors.affiliation: Département de santé publique, CHU de Grenoble, avenue Maquis-du-Grésivaudan, 38700 La Tronche, France. Electronic address: ogaget@chu-grenoble.fr.
authors.forename: O
authors.initials: O
authors.lastname: Gaget
authors.affiliation: Département de santé publique, centre hospitalier Annecy-Genevois, 1, avenue de l'Hôpital, 74370 Metz-Tessy, France. Electronic address: jjund@ch-annecygenevois.fr.
authors.forename: J
authors.initials: J
authors.lastname: Jund
authors.affiliation: Département de chirurgie urologie, CHU de Grenoble, avenue Maquis-du-Grésivaudan, 38700 La Tronche, France. Electronic address: covers@chu-grenoble.fr.
authors.forename: C
authors.initials: C
authors.lastname: Overs
authors.affiliation: Département de chirurgie urologie, centre hospitalier Annecy-Genevois, 1, avenue de l'Hôpital, 74370 Metz-Tessy, France. Electronic address: oskowron@ch-annecygenevois.fr.
authors.forename: O
authors.initials: O
authors.lastname: Skowron
mesh_terms: D000293:Adolescent; D000818:Animals; D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism; D005602:France; D006801:Humans; D008297:Male; D010537:Peritoneum; D012611:Scrotum; D013737:Testis
keywords: Canal péritonéo-vaginal; Cryptorchidie; Cryptorchidism; Orchidopexie; Orchidopexy; Processus vaginalis; Surgical findings; Undescended testis