Volume : 6, Issue : 5, May - 2017

Modified dartos pouch technique by transfixing the testis to a nylon button for undescended testes with short spermatic cord.

Manoj Saha

Abstract :

<p>&nbsp;<b style="text-align: justify;">Aim:</b><span style="text-align: justify;"> To overcome the difficulty in retaining the testis in the scrotum after orchiopexy by modified dartos pouch technique for undescended testes with short spermatic cord. </span><b style="text-align: justify;">Materials and Methods:</b><span style="text-align: justify;"> From October 2010 to September 2013 sixty-eight undescended testes in 55 boys with short spermatic cord were treated. After mobilizing the spermatic cord adequately, the testis was ought down to subdartos pouch and then transfixed it to a nylon button placed outside the scrotal skin. Technique was used for 63 open orchipopexy and 4 laparoscopic orchiopexy. Button was removed after 7 days to 18 days depending on the testicular descent. </span><b style="text-align: justify;">Results: </b><span style="text-align: justify;">Average operating time for open orchiopexy was 40 minutes and for laparoscopic operation it was one hour. Follow up period varied from six months to two years. Sixty-five (97%) of the testes were fixed comfortably in the scrotum at the end of 3 months. Only two testes receded up. There was no major complication related to the button. </span><b style="text-align: justify;">Conclusion: </b><span style="text-align: justify;">This is a simple, safe and effective method of retaining the undescended testis in the scrotum. There is no need for restraining the child after operation.&nbsp;</span></p> <p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph;&#10;line-height:200%"><o:p></o:p></p>