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Undescended testis: a study of 212 cases treated surgically
Annals of the Academy of Medicine, Singapore
|October 1, 1981
Summary
Surgical treatment for undescended testes (undescended testes) in 212 patients showed successful outcomes. Orchidopexy was effective, with failures likely due to insufficient mobilization during surgery.
Area of Science:
- Pediatric Surgery
- Urology
Background:
- Undescended testes (cryptorchidism) affect a significant number of male infants.
- Timely surgical intervention is crucial for optimal outcomes and fertility preservation.
Purpose of the Study:
- To analyze the surgical outcomes of treating undescended testes.
- To identify factors influencing treatment success and complications.
Main Methods:
- Retrospective review of 212 surgical cases for undescended testes.
- Surgical techniques included orchidopexy and, when necessary, orchidectomy.
- Data collected on patient age, laterality, surgical approach, and outcomes.
Main Results:
- Incidence: 51.9% right, 34.9% left, 13.2% bilateral undescended testes.
- 42% of patients underwent surgery before age 5.
- Orchidopexy failure occurred in 14 cases, potentially due to inadequate mobilization.
Conclusions:
- Surgical management of undescended testes is safe and effective.
- Early surgical intervention, particularly before age 5, is recommended.
- Adequate surgical mobilization is key to successful orchidopexy and preventing recurrence.