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Impalpable testes: observations based on 208 consecutive operations for undescended testes.
The Journal of Urology
|September 1, 1980
Summary
Undescended testes, especially impalpable ones, can be effectively treated with inguinal exploration. This approach allows for correction of associated conditions and facilitates orchiopexy if needed.
Area of Science:
- Pediatric Surgery
- Urology
Background:
- Undescended testes (cryptorchidism) are common in pediatric surgery.
- Impalpable testes present diagnostic and therapeutic challenges.
Purpose of the Study:
- To evaluate the efficacy of inguinal exploration for undescended testes.
- To emphasize the management of impalpable testes.
Main Methods:
- A personal series of consecutive explorations for undescended testes was reviewed.
- Emphasis was placed on cases with impalpable testes.
Main Results:
- Inguinal exploration allows correction of patent processus vaginalis peritonei.
- It enables identification of the testis or spermatic vessels.
- Adequate exposure for single-stage orchiopexy is provided.
Conclusions:
- Preoperative radiographs are not essential for inguinal exploration of undescended testes.
- Inguinal incision is sufficient for unilateral or bilateral cases.
- This approach facilitates successful orchiopexy regardless of testicular location.