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AUA: Cryptorchidism (2018)
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==== <span style="color:#ff0000">Palpable</span> ==== *'''<span style="color:#ff0000">Standard technique: two-incision (inguinal and scrotal) orchiopexy''' **The inguinal portion of the procedure is performed to mobilize the cord structures and gain adequate length for repositioning the testis in the scrotum, along with closure of a patent processus vaginalis, when present. The secondary scrotal incision is performed to create a subdartos pouch for placement and fixation of the testis. *If low lying, single incision orchidopexy is also a viable option. **Potential advantages with respect to enhanced recovery and cosmesis, as well as reduced operative time. This technique can be effective even when there is a patent processus/hernia sac present *If a palpable nubbin is present, in the scrotum, potentially representing a vanishing testis, then scrotal or inguinal exploration can safely be performed. **Regardless of the approach, the specimen should be sent for pathologic confirmation, to confirm a vanishing testis and no presence of malignancy.
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