Testis incomplete descent

Incomplete Descent

*     The testis is arrested at some point in its normal course of descent (Fig. 27.3) and is palpable on examination.

*     Usual sites is internal inguinal ring, there may be an associated congenital indirect inguinal hernia; if processes vaginalis has not been obliterated

*     Exploration with a high inguinal incision exposing the entire cord upto the internal inguinal ring is required.

*     The cord is completely freed from the processes vaginalis which is excised, neck of the peritoneal sac is closed.

·                The testis is then positioned and fixed within the scrotum (orchidopexy) using a variety of techniqes

Transeptal orchidopaxy Steps

-        testis identified in inguinal canal

-        open ingiunal canal

-        identify hernia sac and ligate

-        mobilize and leagnthen cord till it reaches scrotum

-        make an opening in the septal wall of scrotum

-        transpose testis through this opening

Close the inguinal canal and wound

*     Use of chronic gonadotropic in dosages of upto 500 units three times weekly for six weeks as stimulus to testicular descent may also be tried

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