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December 1957

Observations on Undescended Testes: II. The Technique of Surgical Management

Author Affiliations

From the Surgical Clinic of the Children's Hospital of Philadelphia and the Harrison Department of Surgical Research, the University of Pennsylvania School of Medicine.

AMA Arch Surg. 1957;75(6):898-905. doi:10.1001/archsurg.1957.01280180030005

The significance of the empty scrotum was the subject of a previous communication.1 It was demonstrated that an undescending testis represents an embryologic arrest in development and that there is no more reason to expect spontaneous cure or correction by medical therapy than in any other congenital anatomical defect.

This report deals with our experience with an operative procedure, quite simple in technique, and productive of good cosmetic results. It has not been used long enough to evaluate from the standpoint of testicular function, but, piecing together bits of evidence from several sources, it seems reasonable to assume satisfactory functional results eventually in view of the size, shape, position, and consistency of the testis postoperatively.

Aims of Orchiopexy  The goal of any operation for undescended testis should be a spermatogenic gonad in a cosmetically acceptable scrotal position. Such an operation should include a satisfactory method of dealing with a

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