Question
The child is now one year and three months old, and the right testicle has not yet descended. What should be done?
Answer
- Orchidopexy surgery is recommended for inaccessible testicles. This typically involves an inguinal approach, making a diagonal incision in the inguinal area, freeing the spermatic cord, draining the patent processus vaginalis or hernial sac, and placing the testicle without tension in the scrotum.
- Laparoscopic surgery is applicable to all inaccessible cryptorchidism cases and can be used for the diagnosis, biopsy, or high intra-abdominal orchidectomy of the cryptorchidism. Contraindications include acute infection, coagulation abnormalities, a history of previous abdominal surgery, and suspected peritoneal adhesions.