Document Detail


The return of the solitary testis.
MedLine Citation:
PMID:  20869919     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
PURPOSE: To assess what is done and what is recommended concerning fixation of the solitary testis.
MATERIAL AND METHOD: We conducted an e-mail survey of current practices in 28 pediatric surgery departments in 28 university or general hospitals in France. We then reviewed what evidence could be found in the literature.
RESULTS: All surgeons fix the contralateral solitary testis following intravaginal torsion. Sixteen out of 28 fix the contralateral solitary testis following extravaginal torsion, 13/28 in cases of monorchia, and 8/28 following orchiectomy for trauma or tumour. Five surgeons have observed one case each of torsion of a solitary testis, and three have witnessed testicular necrosis following orchiopexy.
CONCLUSION: There is no consensus regarding fixation of the remaining testis in the literature. Scientific evidence does not show clearly whether fixation is necessary, regardless of the clinical situation. However, if fixation is performed it should be done using the dartos pouch sutureless technique.
Authors:
L Harper; M E Gatibelza; J L Michel; A Bouty; F Sauvat
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Publication Detail:
Type:  Journal Article     Date:  2010-09-24
Journal Detail:
Title:  Journal of pediatric urology     Volume:  7     ISSN:  1873-4898     ISO Abbreviation:  J Pediatr Urol     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-09-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101233150     Medline TA:  J Pediatr Urol     Country:  England    
Other Details:
Languages:  eng     Pagination:  534-7     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Department of Paediatric Surgery, CHR F Guyon, Saint-Denis de La Réunion, Reunion Island.
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