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February 28, 1914


JAMA. 1914;LXII(9):691-693. doi:10.1001/jama.1914.02560340033011

Although more than thirty years have passed since Schüller1 described his operation for bringing the undescended testicle into the scrotum, and although in this time many other observers have reported series of cases and personal experiences, many surgeons still doubt the practicability of the operation and in dealing with this condition advise excision of the undescended testicle as the operation of choice.

Rawling2 is the most prominent advocate of excision as the operation of choice, his conclusions being based on a study of the results of 120 cases.

Opposed to Rawling we have on the other hand numerous reports, including those of Brocha, Bevan and Coley.

The important questions to be decided regarding this operation are, first: Is the non-descended testicle worth saving? Second, Is it technically possible to bring such a testicle into the scrotum in a manner that will preserve its vitality? With these points in

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