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ISSN 0973 - 0958
Genital Problems in
Children
Absence of Testis from
Scrotum
Circumcision in Children
Acute Swelling and Pain
in Scrotal Region
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ABSENCE OF TESTIS FROM SCROTUM
The ideal age for correction for getting the best results is between 1 to 1½ years of age. The surgery done is called Orchiopexy - that is fixation of the testis in the scrotum and prevent it from going back up where it was. The operation and the approach depends on the site of the testis and the age of the boy. Examination will throw up 2 possibilities - either I am able to feel the testis (called Palpable testis) or I am not able to feel the testis position (called non palpable testis).
If the testis is felt, no further investigations are required for the testis, and the child can undergo the surgery after routine investigations. This surgery is usually done on a day care basis - the child comes in the morning, gets operated and leaves by the evening or night. The surgery lasts for about 1 - 1½ hours. There are 2 incisions in this - one in the inguinal region for the isolation and mobilization of the testis, and the second on the scrotum where the testis is finally brought and sutured to prevent ascent.
Testis found in the inguinal canal
The testis with blood vessels separated from hernia sac
Testis brought down and fixed in scrotum
Testis found in the inguinal canal
The testis with blood vessels separated from hernia sac
Testis brought down and fixed in scrotum
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