PMID: 6138441Nov 1, 1983

Surgical correction of the failed orchiopexy

The Journal of Urology
M MaizelsC F Firlit

Abstract

The reasons for failure of orchiopexy were investigated by reviewing the records of 350 boys with undescended testis. There were 36 boys (10 per cent) who had experienced failure of an initial surgical procedure. We found that the standard surgical techniques of local inguinal dissection, high ligation of a patent processus vaginalis, extensive retroperitoneal mobilization of the spermatic vessels and vas deferens, and/or creation of a dartos pouch were sufficient to correct these failures. Retroperitoneal dissections were required to correct the undescended testes in 58 per cent of the boys. Only 37 per cent of the boys could be treated satisfactorily by localized inguinal dissection. It appears that standard surgical techniques, especially aggressive retroperitoneal dissection, are adequate to correct even troublesome cases of undescended testis.

References

Jan 1, 1977·The Journal of Urology·J F Redman
Aug 1, 1966·Journal of Pediatric Surgery·S J Boley, S Kleinhaus
Jun 1, 1971·Archives of Surgery·H V Firor
Mar 1, 1980·The Journal of Urology·D C Martin, A H Salibian
Feb 25, 1956·Journal of the American Medical Association·R E GROSS, T C JEWETT
Dec 1, 1957·A.M.A. Archives of Surgery·C E KOOP, C L MINOR
Aug 1, 1959·The Australian and New Zealand Journal of Surgery·R FOWLER, F D STEPHENS

Citations

Apr 1, 1993·The Journal of Urology·P C CartwrightM A Keating
Sep 1, 1993·British Journal of Urology·M T CorballyE J Guiney
Jan 5, 2005·Indian Journal of Pediatrics·Ashley J D'Cruz, Kanishka Das
Sep 1, 2004·Pediatric Surgery International·Ashok RajimwaleMartin A Koyle
Apr 23, 2011·The Journal of Urology·Anne G DudleySteven G Docimo
May 1, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Mario RiquelmeJairo Torres-Riquelme
Feb 22, 2020·Arab Journal of Urology·Ahmed Abdelhaseeb YoussefTamer Yassin Mohamed Yassin

Related Concepts

Unilateral Cryptorchidism
Structure of Inguinal Ring
Surgical Procedures, Laparoscopic
Repeat Surgery
Retroperitoneal Space
Suture Techniques
Testis

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