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June 1971

Two-Stage Orchiopexy

Author Affiliations

Cape Town, South Africa
From the Department of Surgery, University of Cape Town, and Red Cross War Memorial Children's Hospital, Cape Town, South Africa. Dr. Firor is now with the Department of Pediatric Surgery, Cook County Children's Hospital, Chicago.

Arch Surg. 1971;102(6):598-599. doi:10.1001/archsurg.1971.01350060062020

A series of 287 undescended testicles was subjected to orchiopexy. In 193 instances (68.3%) a one-stage procedure achieved a satisfactory anatomic result. In 62 instances (21.5%) a two-stage procedure was elected when a one-stage approach was not possible. In 30 of the latter instances this approach was successful, in two instances the testicle was atrophic at the second stage, and in 30 cases the second stage is to be carried out. The remaining 32 cases either underwent orchidectomy or a testicle could not be found; another type procedure was employed with poor results; or records of follow-up were not available. The two-stage orchiopexy offers a good opportunity of achieving a good anatomic result in the "difficult" orchiopexy.