Cordopexy: a new approach to the undescended testis. A review of 2 to 5-year followup.

Cordopexy was done routinely on 107 undescended testes in 93 consecutive subjects in 5 years. Since the initial results in 79 cases were satisfactory at 1-year followup a further review at 2 to 5-year followup was done to assess the long-term effect of the new operation upon 67 testes. Unlike other conventional methods used in orchiopexy, cordopexy has been satisfactory uniformly in all cases. There was no instance of retraction of the testis nor was there any evidence of morbidity in 67 testes reviewed for 2 to 5 years. The testicular size was normal in 57 cases and subnormal in 10, of which 27 and 6, respectively, had been judged subnormal at operation. There appeared to be an improvement of 88 per cent in normal and 82 per cent in subnormal testes. The view that the results are affected by the preoperative state of the testis and the timing of surgery also is supported.