Abstract
100 orchiopexies were performed on 82 boys for cryptorchism from Jun.1983 to Apr.1984.The operative lengthening of the spermatic cord was measured after each step of the procedure.The 4 steps involved in the mobilization procedure are:division of the cremaster muscIe and the gubernaculum testis;(2) separation of the cord from the processus vaginalis;(3) retroperitoneal mobilization of the cord,and (4) replacing the cord behind the inferior epigastric vessels.The average lengthening of the cord achieved was 5.54 cm.Retroperitoneal mobilization alone could make the cord to get an extra length by 2.02 cm.72 testes were available for follow-up study,with all the testes descended into the scrotum,89% in a satisfactory position.
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