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Amsterdam-Zuidoost, Netherlands

Meij-Devries A.,The Surgical Center | Van Der Voort L.M.,Medical Center Alkmaar | Sijstermans K.,Academic Medical Center Center Center | Meijer R.W.,Medical Center Alkmaar | And 2 more authors.
Journal of Pediatric Surgery | Year: 2013

Purpose: The purpose of the study is to study the natural course of undescended testes after inguinoscrotal surgery. Methods: From 2003-2010, 24 boys were observed with 26 undescended testes after inguinoscrotal surgery; 12 had previously undergone inguinal hernia repair and 12 orchidopexy. Spontaneous descent was awaited and (re-)orchidopexy would only be performed in case of non-descent at puberty. The boys were assessed annually for testis position and for testis volume as measured by ultrasound. Results: At the end of the study period, 19 testes had reached scrotal position; of these, 13 (68%) had descended spontaneously and 6 (32%) had been (re-)orchidopexied. No difference was found in the rate of spontaneous descent after previous orchidopexy or inguinal hernia repair (P = 0.419). Conclusion: Spontaneous descent of undescended testes after inguinoscrotal surgery occurs regularly. In this study, it was observed in two out of every three cases. © 2013 Elsevier Inc. All rights reserved.

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