SURGICAL MANAGEMENT OF UNDESCENDED TESTES

Abstract
This discussion of the surgical management of undescended testes is based on a review of the literature, a study of records of 363 patients from the Los Angeles Childrens Hospital, and our personal experience. One hundred sixty-two cases were previously reported1from this institution, and an additional 201 cases, from 1949 to 1954, are now reviewed. The conclusions in this paper are drawn, in the main, from this later series. An undescended testis is defined as one that has not passed from its origin below the kidney into the scrotum (fig. 1). This condition is determined by observation and palpation. In the broad sense, it includes retracted, true, false, and ectopic forms. EXAMINATION AND TREATMENT A glance at the scrotum or a quick palpation will indicate abnormal scrotal position in about 10% of newborn infants. In many of these babies, a clinical hernia will appear during the first few

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