ABSTRACT
The success rates for orchiopexy are dependent on the preoperative testicular position and the technique utilized. A meta-analysis by Docimo determined the success rates based on the preoperative anatomical position of the testis as 74% for abdominal, 82% for peeping, 87% for canalicular, and 92% for those distal to the external ring. Ilioinguinal nerve injury is an infrequent complication in orchiopexy. Injury can occur from traction, electrocautery, transection, or entrapment. Transient neuralgias can occur and are usually self-limited and resolve within a few weeks of the operation. The most common neural injury during orchiopexy is injury to the ilioinguinal nerve, which is most likely to occur during opening of the inguinal canal. Testicular torsion is another possible cause of vascular insufficiency with subsequent atrophy of the testis resulting from ischemia. The injury is usually iatrogenic and occurs when the testis is passed into the scrotum.
