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Natural course of undescended testes after inguinoscrotal surgery
Annebeth Meij-deVries1, Laszla M van der Voort, Karlijn Sijstermans
1Pediatric Surgical Center of Amsterdam, Amsterdam, The Netherlands.
Purpose:
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).
Conclusion:
Spontaneous descent of undescended testes after inguinoscrotal surgery occurs regularly. In this study, it was observed in two out of every three cases.
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