The authors outline the method of orchiopexy and report the results of orchiopexy performed on 79 cases (113 testes) of cryptorchism.
A. Method of orchiopexy
1) In inguinal oblique skin incision, while noting frequent keloid formation, no keloid formation was noted as the lower abdominal transverse incision.
2) It was easy to descend testes to the base of the scrotal sac by performing orchidofuniculolysis sufficiently.
3) Of the several methods of orchiopexy, dartos pouch method was most ideal.
B. Operative results on the 79 cases (113 testes) of cryptorchism are as follows.
1) Of the 113 testes, there were noted sufficient descent to the scrotal base in 108 testes, and somewhat insufficient descent in 5 testes.
2) In the consideration that 5 case of unsufficient descent in the group of type IV which was not detectable on manual palpation, sufficient orchidofuniculolysis should be carried out preoperatively regarding difficulties in sufficient descent.
C. While operation time of cryptorchism being 4-5 years old as a rule, 25% or so are performed at 1-5 years old in authors` cases. So more active instruction should be considered.
|