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Congenital testicular maldescent: significance of the complete hernial sac
Author(s) -
Donnell S.C.,
Rickwood A.M.K.,
Jee L.D.,
Jackson M.
Publication year - 1995
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1995.tb07374.x
Subject(s) - medicine , surgery , gubernaculum , anatomy
Objective To test the hypothesis that testicular maldescent is rarely congenital in the absence of a complete hernial sac. Patients and methods The study comprised 110 boys undergoing orchidopexy. Operative findings (complete hernial sac versus no hernial sac) were compared with recorded testicular descent at birth. Results Among 70 testes recorded as maldescended neonatally there was no example without a complete hernial sac at orchidopexy. Among 60 recorded as descended neonatally, 43 had no sac at orchidopexy. Conclusions The findings are consistent with the hypothesis, though not with the proposition, that the presence of a complete hernial sac at orchidopexy constitutes proof of congenital testicular maldescent.