A modified two- stage orchiopexy (total canal mobilization) for better preservation of vasculatures and prevention of testicular atrophy in high located testes

Aims: We want to introduce a modified technique of two stage orchiopexy which has good safety margin, regarding vascular damage and testicular atrophy. Methods and Material: From March 2002 to July 2005,195 testes underwent Orchiopexy in patients with mean age 2.5 years (range,1-4). Thirty six of 195 were impalpable, 16 of 36 had modified two stage orchiopexy. In first stage testis anchored to the pubic tubercle, then in the second stage redissected with wide inguinal canal mobilization. All were followed with P/E, sonographicmeasurement, testosterone level for 6-12 month. Statistical analysis used: Data analysed with one sample test in SPSS13. Results: Two of 16 developed atrophy, 14 of 16 had increase in volume, mean volumes (pre op,1,6 month) (0.69 ± 0.22, 0.84 ±0.26 ,1.06 ±0.33),respectively. All testes were in scrotum after 6 -12 month and they had normal testosterone level for age. There were no abnormality of vas deferens in exploration or wound infection and hematoma post operatively. Conclusions: Modified Two-Stage orchiopexy is acceptable method for all kind of undescended testis (UDT) with short cord. It obviates the need of dissecting the exact tissue which become scared together in first operation and protect vasculatures from damage and resulted testicular atrophy.