停留睾丸の手術 われわれのおこなっている睾丸固定術と手術成績

Abstract

The method of orchidopexy we have performed was described. There are 37 patients who passed two years after orchidopexy and 30 patients could be exalnined again. Excellent result was observed in 28, good result in 1 and poor result in 1. Therefore, operative success was obtained in 29(97%). A transverse skin incision is made 3 to 4 cm above the internal inguinal ring along with the fold of skin. The external oblique fascia and the internal oblique muscle are divided longitudinally, the latter being cut 2 to 3 cm in length. This gives us a good exposure to the retroperitoneal space and enables us freeing the spermatic vessels from the peritoneum almost to the level of the lower pole of the kidney under the direct observation. Fixation of the testicle is made into the created pouch between the scrotal skin and the tunica dartos. This does not require any traction. The patient usually starts to walk on the first postoperative day and can be discharged on the fourth day.