A simple alternative technique of orchiopexy for high undescended testis

Medial displacement of the testicular vessels constitutes an important principle for a successful operation for high undescended testis. Prentiss's manoeuvre involving division of the fascia transversalis attempts to achieve this objective but has not found favour with surgeons because it is more invasive. A simple alternative procedure of rerouting the testicular pedicle behind the fascia transversalis is described. The technique has been reported earlier and this paper aims to illustrate the steps with the help of intraoperative photographs. This method serves as a fixation procedure owing to the 'button-hole' effect of a small pathway and may be combined with other techniques of scrotal fixation such as formation of a dartos pouch and suturing.