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| Year : 1999 | Volume
: 4
| Issue : 4 | Page : 196-201 |
Long term results of treatment of Undescended abdominal testis.
R Rajendran, RR Verma, NSN Sathar, S Hariharan
Department of Pediatric Surgery, SAT Hospital, Medical College Thiruvananthapuram-11, Kerala
Correspondence Address:
R Rajendran
Department of Pediatric Surgery, SAT Hospital, Medical College Thiruvananthapuram-11, Kerala
 Source of Support: None, Conflict of Interest: None  | Check |
ABSTRACT: Operated undescended abdominal testes were analysed with reference to the different type of operations to detect their present status and to detect the fertility status of the individuals. Retrospective analysis of hospital records from 1971 to 1995 was followed by examination of testes and seminal fluid analysis in suitable cases. One hundred and seventy-four (14.24 percent of total) patients had 196 abdominal testes. Their mean age of operation was 5.8 year (range=1-1/2-12years). One hundred and nine testes underwent transinguinal orchiopexy, 33 underwent transabdominal orchiopexy and 24 underwent transabdominal Fowler-stephen's orchiopexy. Twenty four testes were excised and six were absent (vanishing testes). Eighty six testes in 82 patients were evaluated. The mean follow-up period was 5.98 years (range=1-1/2-15 years). Forty nine percent of testes were rated as good and 22 percent as fair. Testis salvage was possible in a significant number. In patients who were operated within 5 years of age, the long-term result was better than in others. On seminal fluid analysis (n=6), in 2 unilateral undescended testes cases, seminal fluid rating was poor, indicating that unilateral undescended testis may cause impaired fertility.
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