Microvascular orchiopexy for high undescended testes.

Ten of 12 intra-abdominal testes transferred to the scrotum in 10 patients were successfully revascularised by microvascular techniques. It is proposed that orchiopexy should be performed early, thus reducing the risk of malignant transformation, and preferably by 2 years of age before the onset of testicular damage. A careful long-term follow-up through puberty and into adulthood is required to determine the place of microvascular orchiopexy in the management of high undescended testes.