ABSTRACT

Background: Imperfectly descended testes is one of the most frequent congenital anomalies of the genitourinary system. Almost 4% of boys are born with one or both testes incompletely descended. There are different surgical ways to approach imperfectly descended testis.

Objectives:- This Study was performed to know frequency and effectiveness of various surgical techniques performed for imperfectly descended testes.

Design: This was a prospective case series study.

Setting: Surgical Unit III Ward: 4 of Liaquat University Hospital Jamshoro.

Study period: From 10th October 2013 – 9th October 2014.

Sample size: 30 patients

Methodology: Patients was admitted according to inclusion criteria were examined and diagnosis was made after biochemical and imaging investigations. Patient was kept on list for surgery. Postoperative complications & hospital stay associated with each of these procedures were evaluated and also Post operative ultrasound scrotum and semen analysis was advised at 03 months interval and effects of procedure on size, vascularity, semen quality and quantity was evaluated compared with preoperative reports. All data was collected and analyzed.

Results: Mean age was 13 years with SD + (4.741) with age range from 2 years to 19 years. 24 (80%) patients had one sided undescended testis 15 (50%) were on right and 09 (30%) on left side, & 06 (20%) patients had absence of Testis on both sides. Surgical procedure like Supra scrotal Orchidopexy done in 12(40%), Ombredanne’s Orchidopexy done in 12 (40%) and two stage fowler stephen Orchidopexy done in 6 (20%). Success rate of Supra scrotal orchidopexy, was 91.10%, for Ombredanne’s orchidopexy 83.33% and for two stage fowler Stephens’s orchidopexy 80.3%. Total complication rate 13.33%

Conclusion: All surgical procedures performed for imperfectly descended testis have good success rate but supra scrotal orchidopexy had slightly higher then two stage fowler Stephen and Ombredanne’s operation.

Key words: Imperfectly descended testis, Infertility and Testicular tumor