RT Book, Section
A1 Stehr, Wolfgang
A1 Betts, James M.
A2 Ziegler, Moritz M.
A2 Azizkhan, Richard G.
A2 Allmen, Daniel von
A2 Weber, Thomas R.
SR Print(0)
ID 1100436240
T1 Cryptorchidism
T2 Operative Pediatric Surgery, 2e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-162723-8
LK accesspediatrics.mhmedical.com/content.aspx?aid=1100436240
RD 2024/04/16
AB Classification  of  testes  falling  under  the  umbrella  term  “cryptorchidism”  includes:  intra-abdominal,  canalicular,  superficial  inguinal  pouch,  ectopic,  ascending,  vanishing,  and  absent  testis.Orchidopexy  is  an  elective  operative  procedure  best  done  in  the  first  6  months  of  life.Laparoscopic  orchidopexy  is  best  reserved  for  both  the  diagnosis  and  treatment  of  intraabdominal  testes,  unilateral  or  bilateral,  or  for  the  high  canalicular  inguinal  canal  testes.  Conventional  open  orchidopexy  is  best  applied  to  the  palpable  superficial  inguinal  ring  area  testis  or  for  the  testis  with  a  symptomatic  inguinal  hernia.Testicular  descent  embryologically  is  best  described  by  the  Hutson  2-phase  model.  In  step  one,  the  abdominal  phase  (8-15  weeks  gestation)  is  under  the  influence  of  MIS;  the  second  inguinoscrotal  phase  (26-40  weeks  gestation)  is  under  androgen  stimulation.