ABSTRACT
Many, but not all retractile testes develop into acquired undescended testes, with the testis becoming relatively higher as the child gets older. Standard orchidopexy for a palpable testis involves an inguinal incision, full exposure of the inguinal canal, separation of the PV, and mobilization of the testis and spermatic cord. The gubernacular attachment is divided carefully with scissors or diathermy, taking care to avoid any structures within the PV, such as the vas deferens, which may extend below the lower pole of the testis. The rest of the operation is similar to standard orchidopexy, except that once the testis is delivered through the wound and put on traction with an artery forcep, the fat and then the external spermatic fascia needs to be stripped off the cord first. Diagnostic laparoscopy is carried out for impalpable testes. Wound infection and hematoma are the two most common complications. Hematoma can be avoided by meticulous hemostasis with diathermy at the time of surgery.
