%0 Journal Article
%T Natural course of undescended testes after inguinoscrotal surgery.
%A Meij-deVries A
%A van der Voort LM
%A Sijstermans K
%A Meijer RW
%A van der Plas EM
%A Hack WW
%J J Pediatr Surg
%V 48
%N 12
%D Dec 2013
%M 24314200
%F 2.549
%R 10.1016/j.jpedsurg.2013.06.016
%X OBJECTIVE: The purpose of the study is to study the natural course of undescended testes after inguinoscrotal surgery.
METHODS: From 2003-2010, 24 boys were observed with 26 undescended testes after inguinoscrotal surgery; 12 had previously undergone inguinal hernia repair and 12 orchidopexy. Spontaneous descent was awaited and (re-)orchidopexy would only be performed in case of non-descent at puberty. The boys were assessed annually for testis position and for testis volume as measured by ultrasound.
RESULTS: At the end of the study period, 19 testes had reached scrotal position; of these, 13 (68%) had descended spontaneously and 6 (32%) had been (re-)orchidopexied. No difference was found in the rate of spontaneous descent after previous orchidopexy or inguinal hernia repair (P=0.419).
CONCLUSIONS: Spontaneous descent of undescended testes after inguinoscrotal surgery occurs regularly. In this study, it was observed in two out of every three cases.