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Iatrogenic ascent of the testis: an under-recognized complication of inguinal hernia operation in children
1Children's Research Centre, Our Lady's Hospital for Sick Children, Crumlin, Dublin, Ireland.
Objective:
To determine the incidence of iatrogenic ascent of the testis following inguinal hernia repair in children.
Patients And Methods:
A total of 627 children underwent 747 groin explorations for inguinal hernia between January 1981 and December 1984. A retrospective review of their charts until December 1991 was undertaken.
Results:
Nine patients subsequently required orchidopexies at a mean interval of 3 years 171 days (range 229 days-6 years 6 months). The incidence of iatrogenic ascent of the testis was 1.3% (6/459) for patients under 2 years of age at the initial operation, 1.3% (2/155) for those between 2 years and 5 years and 0.75% (1/133) for those above 5 years.
Conclusion:
The incidence of iatrogenic ascent of the testis was 1.2% after groin exploration for inguinal herniotomy in children, indicating the need for long-term follow-up.