Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Reoperation for cryptorchid testis in prepubertal child

T D Cohen1, R Kay, N Knipper

  • 1Section of Pediatric Urology, Cleveland Clinic Foundation, Ohio.

Urology
|October 1, 1993
PubMed
Summary

Successful re-exploration for cryptorchid testes in children previously treated with inguinal surgery is achievable. Key factors include careful dissection, intraperitoneal exposure, and cord lengthening to ensure good testicular position and normal size.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Mapping of Family Reported Outcome Measure (FROM-16) scores to EQ-5D: algorithm to calculate utility values.

Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation·2024
Same author

N-acetyl-L-leucine for Niemann-Pick type C: a multinational double-blind randomized placebo-controlled crossover study.

Trials·2023
Same author

A master protocol to investigate a novel therapy acetyl-L-leucine for three ultra-rare neurodegenerative diseases: Niemann-Pick type C, the GM2 gangliosidoses, and ataxia telangiectasia.

Trials·2021
Same author

Quality of life improvement in older patients with heart failure initiated on ivabradine: Results from the UK multi-centre LIVE:LIFE prospective cohort study.

International journal of cardiology·2017
Same author

Combination treatment with mirabegron and solifenacin in patients with overactive bladder: exploratory responder analyses of efficacy and evaluation of patient-reported outcomes from a randomized, double-blind, factorial, dose-ranging, Phase II study (SYMPHONY).

World journal of urology·2016
Same author

The analysis of incontinence episodes and other count data in patients with overactive bladder by Poisson and negative binomial regression.

Pharmaceutical statistics·2016

Area of Science:

  • Pediatric Surgery
  • Urology
  • Andrology

Background:

  • Cryptorchidism, or undescended testes, presents challenges, especially after prior inguinal surgery.
  • Previous surgeries like hernia repair or hydrocelectomy can lead to testicular entrapment or failed orchidopexy.
  • Re-operative management is complex, requiring specialized techniques.

Purpose of the Study:

  • To evaluate the outcomes of re-operative surgery for cryptorchid testes in prepubertal patients with a history of inguinal procedures.
  • To identify critical surgical factors contributing to successful repositioning of undescended testes in complex cases.

Main Methods:

  • Retrospective review of 22 prepubertal patients undergoing re-exploration for cryptorchid testes post-inguinal surgery.
  • Detailed analysis of surgical techniques including retrograde dissection, intraperitoneal exposure, cord lengthening, and spermatic vessel protection.

Related Experiment Videos

  • Assessment of postoperative testicular position, size, and complications.

    • Main Results:

    • All 22 patients achieved successful repositioning of testes into the scrotum post-re-exploration.
    • Mean follow-up was 8.9 months, with all testes maintaining normal size and no instances of atrophy.
    • Specific techniques like retrograde dissection and adequate cord lengthening were crucial for success.

    Conclusions:

    • Re-exploration for cryptorchid testes after prior inguinal surgery can yield excellent outcomes.
    • Meticulous surgical technique, including careful dissection and cord mobilization, is paramount for successful orchidopexy in challenging cases.
    • These findings support the feasibility of successful surgical correction even in previously operated cryptorchid patients.