Skip to main content
SpringerLink
Log in

Surgical Treatment of Cryptorchidism

  • Chapter
Cryptorchidism

  • 71 Accesses

Abstract

Despite the current research and renewed enthusiasm for hormones, surgery remains the cornerstone of therapy for cryptorchidism. Orchiopexy was apparently first attempted by Rosenmerkel in 1820, but the operation did not gain popularity until the end of the nineteenth century when Bevan described the dissection of the cord to provide the length necessary for the testis to reach the scrotum [1, 2]. While there was no provision for anchoring the testis in the scrotum in Bevan’s original operation, he later described a purse-string suture at the neck of the scrotum. Subsequently, various methods of testicular fixation have been suggested. Torek advocated fixation of the testis to the fascia lata subcutaneously on the inner aspect of the thigh with a second operation 3 months later to release the testis into the scrotum [3]. Ombredanne anchored the testis by passing it across the scrotal septum to the opposite scrotal compartment [4].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Rosenmerkel JF (1820) Über die Radikalkur des in der Weiche liegenden Testikels bei nicht erfolgtem Descensus desselben. J Lindauer, Munich

    Google Scholar 

  2. Bevan AD (1899) Operation for undescended testicle and congenital inguinal hernia. JAMA 33:773

    Article  Google Scholar 

  3. Torek F (1909) The technic of orchiopexy. NY J Med 90:948

    Google Scholar 

  4. Ombredanne L (1927) Sur lorchiopexie. Bull Soc Pédiatr Paris 25:473

    Google Scholar 

  5. Cabot H, Nesbit RM (1931) Undescended testis. Arch Surg 22:850

    Article  Google Scholar 

  6. Lattimer JK (1957) Scrotal pouch technique for orchio pexy. J Urol 78:628

    PubMed  CAS  Google Scholar 

  7. Flinn RA, King LR (1971) Experiences with the midline transabdominal approach in orchiopexy. Surg Gynecol Obstet 133:285

    PubMed  CAS  Google Scholar 

  8. Hunt JB, Withington R, Smith AM (1981) The midline preperitoneal approach to orchiopexy. Am Surg 47:184

    PubMed  CAS  Google Scholar 

  9. Burrow M, Gough MH (1970) Bilateral absence of testes. Lancet 1:366

    Google Scholar 

  10. Campbell MF (1970) Anomalies of the genital tract. In: Campbell MF, Harrison JH (eds) Urology. Saunders, Philadelphia, p 1625

    Google Scholar 

  11. Jost A (1953) Problems of fetal endocrinology. Rec Prog Horm Res 8:379

    Google Scholar 

  12. Abeyarotine MC, Aherne WA, Scott JES (1969) The vanishing testis. Lancet 2:822

    Article  Google Scholar 

  13. Levitt SB, Kogan SJ, Engel RM, Weiss RM, Martin DC, Ehrlich RM (1978) The impalpable testis: a rational approach to management. J Urol 120:515

    PubMed  CAS  Google Scholar 

  14. Lunderquist A, Rafstedt S (1967) Roentgenologic diagnosis of cryptorchidism. J Urol 98:219

    PubMed  CAS  Google Scholar 

  15. White JJ, Haller JA Jr, Dorst JP (1970) Congenital inguinal hernia and inguinal herniography. Surg Clin North Am 50:823

    PubMed  CAS  Google Scholar 

  16. Weiss RM, Glickman MG, Lytton B (1977) Venographic localization of the non-palpable undescended testis in children. J Urol 117:513

    PubMed  CAS  Google Scholar 

  17. Madrazo BL, Klugo RC, Parks JA, Diloreto R (1979) Ultrasonographic demonstration of undescended testes. Radiology 133:181

    PubMed  CAS  Google Scholar 

  18. Lee JKT, McClennan BC, Stanley RJ, Sagel SS (1980) Utility of computed tomography in the localization of the undescended testis. Radiology 135:121

    PubMed  CAS  Google Scholar 

  19. Wolverson MK, Jagannadharao B, Sundarm M, Riaz MA, Nalesnik WJ, Houttuin E (1980) CT in localization of impalpable cryptorchid testes. Am J Roentgenol 134:725

    CAS  Google Scholar 

  20. Silber SJ, Cohen R (1980) Laparoscopy for cryptorchidism. J Urol 124:928

    PubMed  CAS  Google Scholar 

  21. Marshall FF, Weissman RM, Jeffs RD (1980) Cryptorchidism : The surgical implications of non-union of the epididymis and testis. J Urol 125:560

    Google Scholar 

  22. Brothers LR III, Weber CH Jr, Bull TR Jr (1978) Anorchism versus cryptorchism: The importance of a diligent search for intra-abdominal testis. J Urol 119:707

    PubMed  Google Scholar 

  23. Martin DC, Menck HR (1975) The undescended testis: management after puberty. J Urol 114:77

    PubMed  CAS  Google Scholar 

  24. Snyder WH Jr, Chaffín L (1955) Surgical management of undescended testes. Report of 363 cases. JAMA 157:129

    Article  Google Scholar 

  25. Gross RE, Jewett TC (1956) Surgical experiences from 1,222 operations for undescended testes. JAMA 160:634

    Article  CAS  Google Scholar 

  26. Persky L, Albert DJ (1971) Staged orchiopexy. Surg Gynecol Obstet 132:43

    PubMed  CAS  Google Scholar 

  27. Firor HV (1971) Two-stage orchiopexy. Arch Surg 102:598

    Article  PubMed  CAS  Google Scholar 

  28. Zer M, Wooloch Y, Dintsman M (1975) Staged orchiorhaphy. Therapeutic procedure in cryptorchid testicle with a short spermatic cord. Arch Surg 110:387

    Article  PubMed  CAS  Google Scholar 

  29. Kiesewetter WB, Mammen K, Kalyglou M (1981) The rationale and results in two-stage orchiopexies. J Pediatr Surg[Suppl] 16:631

    Article  CAS  Google Scholar 

  30. Corkery JJ (1975) Staged orchiopexy -a new technique. J Pediatr Surg 10:515

    Article  PubMed  CAS  Google Scholar 

  31. Redman JF (1977) The staged orchiopexy: a critical review of the literature. J Urol 117:113

    PubMed  CAS  Google Scholar 

  32. Fowler R, Stephens FO (1959) The role of testicular vascular anatomy in the salvage of high undescended testes. Aust NZ J Surg 29:92

    Article  CAS  Google Scholar 

  33. Bevan AD (1903) The surgical treatment of undescended testicle: A further contribution. JAMA 41:718

    Article  Google Scholar 

  34. Brendler H, Wulfson MA (1967) Surgical treatment of high undescended testis. Surg Gynec and Obst 124:605

    CAS  Google Scholar 

  35. Clatworthy HW Hr, Hollanbaugh RS, Grosfeld JL (1972) The “long loop vas”orchiopexy for high undescended testis. Amer Surg 38:69

    Google Scholar 

  36. Johnston JH: Prune Belly syndrome (1977) In: Eckstein HB, Huhenfellner R, Williams DI (eds) Surgical Pediatric Urology. Philadelphia, Saunders WB Co., p 240

    Google Scholar 

  37. Gibbons MD, Cromie WJ, Duckett JW Jr (1979) Management of the abdominal undescended testicle. J Urol 122:76

    PubMed  CAS  Google Scholar 

  38. Silber SJ, Kelly J (1976) Successful autotransplantation of an intra-abdominal testis to the scrotum by microvascular technique. J Urol 115:452

    PubMed  CAS  Google Scholar 

  39. Martin DC, Salibian A (1980) Orchiopexy utilizing microvascular surgical techniques. J Urol 123:263

    Google Scholar 

  40. Romas NA, Janecka I, Krisiloff M (1978) Role of microsurgery in orchiopexy. Urology 12:670

    Article  PubMed  CAS  Google Scholar 

  41. MacMahon RA, O’Brien B McC, Cussen JL (1976) The use of microsurgery in the treatment of the undescended testis. J Ped Surg 11:521

    Article  Google Scholar 

  42. Wacksman J, Dinner M, Straffon RP (1980) Technique of testicular autotransplantation using a microvascular anastomosis. Surg Gyn and Obst 150:399

    CAS  Google Scholar 

  43. Woodard JR, Parrott TS (1978) Orchiopexy in the prune belly syndrome. Br J Urol 50:348

    Article  PubMed  CAS  Google Scholar 

  44. Gross RE, Replogle RL (1963) Treatment of the undescended testis. Opinions gained from 1,767 operations. Postgrad Med 34:266

    CAS  Google Scholar 

  45. Bill AH Jr, Shanahan DA (1964) The management of undescended testicle. Surg Clin North Am 44:1571

    Google Scholar 

  46. Williams DI, Burkholder GV (1967) The prune belly syndrome. J Urol 98:244

    PubMed  CAS  Google Scholar 

  47. Lynn HB (1969) Undescended testis. Can Family Physi cian 15:33

    CAS  Google Scholar 

  48. Moschcowitz AV (1910) The anatomy and treatment of undescended testis: With especial reference to the Bevan operation. Ann Surg 52:821

    Article  PubMed  CAS  Google Scholar 

  49. Mixter CG (1924) Undescended testicle: Operative treatment and end-results. Surg Gynecol Obstet 39:275

    Google Scholar 

  50. MacCollum DW (1935) Clinical study of the spermatogenesis of undescended testicles. Arch Surg 31:290

    Article  Google Scholar 

  51. Fowler R Jr, Stephens FD (1963) The role of testicular vascular anatomy in the salvage of high undescended testes. In: Webster R (ed) Congenital malformations of the rectum, anus, and genito-urinary tracts. E &S Livingstone Ltd, London, pp 306–320

    Google Scholar 

  52. Jones PG (1966) Undescended testes. Aust Paediatr J 2:36

    Google Scholar 

  53. Datta NS, Tanaka T, Zinner NR, Mishkin FS (1977) Division of spermatic vessels in orchiopexy: Radionuclide evidence of preservation of testicular circulation. J Urol 118:447

    PubMed  CAS  Google Scholar 

Download references

Authors
  1. J. R. Woodard
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. T. S. Trulock
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 1983 Springer-Verlag Berlin · Heidelberg

About this chapter

Cite this chapter

Woodard, J.R., Trulock, T.S. (1983). Surgical Treatment of Cryptorchidism. In: Cryptorchidism. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-86020-1_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-86020-1_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-86022-5

  • Online ISBN: 978-3-642-86020-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation