Orchiopexy: Planned 2-Stage Technique

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Abstract
Planned unilateral 2-stage orchiopexy was undertaken in 14 of 919 primary inguinal explorations for an undescended or nonpalpable testis. In 9 of the 14 cases a silicone sheath was placed around the spermatic cord to protect the cord structures from injury at the time of the second stage. An adequate-sized scrotal testis resulted in 83% of these planned 2-stage orchiopexies. Apparently, the silicone sheath greatly facilitates the 2nd stage.