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DOI: 10.1055/s-0030-1249048
© Georg Thieme Verlag KG Stuttgart · New York
The Transscrotal Approach for Recurrent and Iatrogenic Undescended Testes
Publication History
received September 27, 2009
accepted after revision January 30, 2010
Publication Date:
11 March 2010 (online)
![](https://www.thieme-connect.de/media/ejps/201004/lookinside/thumbnails/10.1055-s-0030-1249048-1.jpg)
Abstract
Purpose: Aim of the study was to evaluate the efficacy of the transscrotal approach in redo orchiopexy.
Material and Methods: Redo orchiopexy using the transscrotal approach was used to treat 16 testes during a 4-year period from 2005 to 2009. Five of these cases occurred following inguinal hernia repair and 11 after previous orchiopexy. Only testes located distal to the external ring that could be moved to the upper part of the scrotum were included in the study. The vas deferens and testicular vessels were dissected free from the surrounding tissue using a scrotal approach and the testis placed into a dartos pouch.
Results: All testes except one could be placed into the scrotum with the transscrotal approach. The mean duration of surgery was 33±13 min. No patient suffered from atrophy or reascending testes.
Conclusion: The transscrotal approach is a fast, simple and reliable method for redo procedures for undescended testes.
Key words
undescended testes - transscrotal orchiopexy - redo orchiopexy
References
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Notice:
This article was changed according to the following erratum on May 13th 2010.
Erratum:
This article was published with a misspelled author's name. The authors are: I. Karaman, A. Karaman, D. Erdoğan, Y. H. Çavuşoğlu
Correspondence
Dr. Ibrahim Karaman
Dr. Sami Ulus Children's Hospital
Pediatric Surgery
Babür cad
06080 Ankara
Turkey
Phone: +90 3123 056 208
Fax: +90 3123 170 353
Email: ibrahimkaraman@hotmail.com