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An evolution of orchiopexy: historical aspect
1Department of Urology, College of Medicine, Seoul National University, Seoul, Korea.
Korean Journal of Urology
|April 24, 2010
Summary
This review traces the 200-year history of cryptorchidism treatment, highlighting key surgical advancements. It details the evolution from early attempts to modern orchiopexy techniques, including laparoscopic and open approaches for undescended testes.
Area of Science:
- Pediatric Surgery
- Medical History
- Urology
Background:
- Cryptorchidism, or undescended testes, has a treatment history spanning over two centuries.
- Understanding historical surgical approaches provides context for current management strategies.
Purpose of the Study:
- To review the historical evolution of surgical treatments for cryptorchidism.
- To highlight key milestones and contributors in the development of orchiopexy.
Main Methods:
- Comprehensive review of medical and historical surgical literature.
- Searches conducted in PubMed, Embase, conference proceedings, and bibliographies.
- No restrictions on language, date, or publication status were applied.
Main Results:
- The study of cryptorchidism commenced with anatomical descriptions by Haller and Hunter.
- Early surgical correction attempts began in the 1800s, with the first successful orchiopexy by Annandale in 1877.
- Schüller, Bevan, and Lattimer advanced standard orchiopexy techniques; laparoscopy and specific incision approaches were later incorporated.
Conclusions:
- Surgical treatment for cryptorchidism has progressed significantly over 200 years.
- Current orchiopexy techniques build upon foundational historical procedures.
- The historical review offers valuable insights into the development of pediatric surgical interventions.
