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Orchiopexy and Circumcision

Domingo Alvear, MD1; Lissa Henson, MD2; Jaymie Ang Henry, MD, MPH3

1World Surgical Foundation
2Philippine Society of Pediatric Surgeons
3Florida Atlantic University, G4 Alliance

1. Introduction

2. Dissection

  1. Incision
  2. Locate and Externalize Testis
  3. Lengthen and Mobilize Spermatic Cord by Dividing Cremasteric Fibers
  4. Locate and Separate Hernia Sac
  5. Ligate and Reduce Hernia Sac

3. Reposition Testis Within Scrotum

  1. Create Tunnel into Scrotum
  2. Create Pouch for Testis
  3. Bring Testis Through Tunnel and into Scrotum
  4. Suture to Secure Testis in Place

4. Closure

5. Circumcision

6. Post-op Remarks