Abstract

AIM: Reorchiopexy is a challenging surgical procedure. The aim of this study is to evaluate the management and presumptive issutes of recurrent undescended testis. MATERIAL AND METHOD: Sixty seven patients were operated for recurrent undescended testis between 1996 and 2009. Mean age of patients was 6 years (2-13 y). Seventy seven reorchiopexies and 2 orchiectomies were performed to these 67 patients. FINDINGS: Inguinal orchiopexy was performed primarily in alL patients. Fifty one of these patients were operated in another institution, 16 were operated in our clinic. Seventeen of 79 reoperated testes were sınailer than contralateral controls. During the second operation, patent processus vaginalis was detected in 32 testes (% 40). The size of the testes was decreased after 12 reorchicpexies. Four of these testes were brought from the level of internal ring (4 of 12 testes-% 33), 7 from within inguinal canal (7 of 53 testes-% 13) and 1 from high scrotal level (1 of 12 testes-% 8). One testis was accepted atrophic and required orchiectomy. CONCLUSION: Inadequate excision of patent processus vaginalis was determined as an important factor leading to recurrence of undescended testis. Another important implication is the rate of shrinkage at testes increases vvith the increased level of recurrent undescended testes.