Testicular rerouting by modified Prentiss maneuver: usefulness in bilateral synchronous orchidopexy for high inguinal undescended testes

Jai Prakash; Deepansh Dalela; Apul Goel; Divakar Dalela; Manoj Kumar; Satya Narayan Sankhwar; Shiv Narain Kureel

doi:10.1016/j.jpedsurg.2013.12.017

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Testicular rerouting by modified Prentiss maneuver: usefulness in bilateral synchronous orchidopexy for high inguinal undescended testes

Journal article

Peer reviewed

Testicular rerouting by modified Prentiss maneuver: usefulness in bilateral synchronous orchidopexy for high inguinal undescended testes

Jai Prakash, Deepansh Dalela, Apul Goel, Divakar Dalela, Manoj Kumar, Satya Narayan Sankhwar and Shiv Narain Kureel

Journal of pediatric surgery, Vol.49(8), pp.1311-1314

08/01/2014

DOI: 10.1016/j.jpedsurg.2013.12.017

PMID: 25092097

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Abstract

To describe our experience and illustrate the surgical procedure of synchronous bilateral testicular rerouting in high inguinal undescended testes (HIUT) by extending the use of "modified Prentiss maneuver" in bilateral situation, to establish this as a procedure of choice in bilateral HIUT and secondly to demonstrate the length gained by maneuver itself. Between January 2011 and December 2012 ten boys (8months-6years) with diagnosis of bilateral HIUT were included in the study. Bilateral orchidopexy was done by "modified Prentiss maneuver" under general anesthesia. Postoperatively all patients were evaluated at 3 months ,6 months and 1 year by physical examinations and ultrasound. It was possible to reroute the testes underneath inferior epigastric artery (IEA) without its mobilization and thus locate testicular pedicle through a fascial hole above pubic tubercle, well medial to IEA. The average gain in scrotal positioning was 16mm (10-22mm).No retractions, atrophy of testis, clinical weakness of anterior abdominal wall or inguinal herniation was noted in any patient up to one year follow up. Testicular re-routing by "modified Prentiss maneuver" is a simple, feasible, safe and efficient method for bilateral orchidopexy in bilateral HIUT. Preserving the inferior epigastric artery bilaterally has physiologic advantages.

Child, Preschool

Cryptorchidism - surgery

Follow-Up Studies

Humans

Infant

Inguinal Canal

Laparoscopy - methods

Male

Orchiopexy - methods

Retrospective Studies

Testis - surgery

Treatment Outcome

Details

Title: Subtitle: Testicular rerouting by modified Prentiss maneuver: usefulness in bilateral synchronous orchidopexy for high inguinal undescended testes
Creators: Jai Prakash - King George's Medical University
Deepansh Dalela - King George's Medical University
Apul Goel - King George's Medical University
Divakar Dalela - King George's Medical University
Manoj Kumar - King George's Medical University
Satya Narayan Sankhwar - King George's Medical University
Shiv Narain Kureel - King George's Medical University
Resource Type: Journal article
Publication Details: Journal of pediatric surgery, Vol.49(8), pp.1311-1314
DOI: 10.1016/j.jpedsurg.2013.12.017
PMID: 25092097
NLM abbreviation: J Pediatr Surg
ISSN: 0022-3468
eISSN: 1531-5037
Language: English
Date published: 08/01/2014
Academic Unit: Urology
Record Identifier: 9984949200902771

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