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Year : 2002  |  Volume : 7  |  Issue : 1  |  Page : 38-39

Observation on testicular maldescent at Nnewi

Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria

Correspondence Address:
J C Orakwe
P.O. Box 1863, Onitsha
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Source of Support: None, Conflict of Interest: None

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Aim: To test, in our environment, the hypotheses that-the ascending testis is a real and common variant of testicular maldescent, and that testicular maldescent is rarely congenital in the absence of a complete hernial sac. Patients and Methods: All 29 patients who presented to the authors with testicular maldescent over a 5-year period were studied. They underwent 29 orchipexies. Results: In 9 cases the testes were indicated to have been palpable in the scrotum at birth or in early childhood. Of these, at orchiopexy, 2 (22.22%) had associated hernial sacs while 7 (77.88%) had no associated sacs, but fibrous remnants of the processus vaginalis were identified in their spermatic cords. In 20 cases in which the testes were indicated to have been undescended at birth, 17 (18%) had associated complete hernia sacs at orchiopexy while none had fibrous remnant of the processus vaginalis in the spermatic cord. Conclusion: The hypotheses were found to be true in this environment.

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