The transscrotal approach for recurrent and iatrogenic undescended testes.

PURPOSE: Aim of the study was to evaluate the efficacy of the transscrotal approach in redo orchiopexy.

MATERIAL AND

METHODS

Redo orchiopexy using the transscrotal approach was used to treat 16 testes during a 4-year period from 2005 to 2009. Five of these cases occurred following inguinal hernia repair and 11 after previous orchiopexy. Only testes located distal to the external ring that could be moved to the upper part of the scrotum were included in the study. The vas deferens and testicular vessels were dissected free from the surrounding tissue using a scrotal approach and the testis placed into a dartos pouch.

RESULTS

All testes except one could be placed into the scrotum with the transscrotal approach. The mean duration of surgery was 33+/-13 min. No patient suffered from atrophy or reascending testes.

CONCLUSION

The transscrotal approach is a fast, simple and reliable method for redo procedures for undescended testes.