[Results of surgical treatment of retained testes].

INTRODUCTION

Numerous papers discuss different opinions about determination of the best age for initiation of an appropriate medical or surgical therapy suggesting in this way modern dilemmas about this congenital malformation. All this emphasizes the importance of the problem, classification of professional disagreements and initiation of correct management of these malformations in order to reduce the consequences to the least possible level. The aim of the study was to emphasize the importance of the prompt diagnosis and surgical treatment at the best age in order to preserve the testicular function.

MATERIAL AND

METHODS

The study included 84 patients, aged 2-49 years, operated on at the Chachak Urological Ward of Surgical Department over the period 1990-1996.

RESULTS AND DISCUSSION: The majority of the patients were between 6 and 10 years of age (3%) (Table 1, 2). Left side retention was predominant (48%), while bilateral retention was recorded in 14% of patients. Inguinal retention was the most common (76%), testicular ectopia (2%), while there was 7% of patients with testicular anorchia.

SURGICAL METHOD: Funiculolisis and orchiopexy (Schoemaker's operation). Hernioplasty was performed in 38% and semicastration in 7% of patients.