Topics include undescended testicles, hernias.
Over the past few years, I have noticed that laparoscopic orchiopexies for intraabdominal testis are easier in infants and toddlers compared to older children. Recently, I attempted a laparoscopic orchiopexy … Read more
Traditional inguinal hernia repairs are performed through a 1-4 cm inguinal incision. A few years after surgery the scar looks like this: Below, I will discuss two ways … Read more
All hernias that I have seen in the last few years have been indirect: the defect is lateral to the epigastrics. Indirect hernias are caused by a failure of the … Read more
The “acute scrotum” is a condition characterized by the recent onset of scrotal pain with or without redness or swelling. A good history and physical examination are all that is needed to make … Read more
Scrotal ultrasounds are not clinically useful in the management of the undescended testis. This is not just my rogue opinion but the consensus of the American Medical Association and the … Read more
Exploratory laparoscopy is the standard of care for approaching a non-palpable, unilateral, undescended testis. However, exploring the scrotum first makes more sense if you analyse the literature (reference, reference, reference): … Read more
For the first time in several years of practice, I saw a teenager with a third testis normally positioned in the scrotum. He had no pain or bother. Because some … Read more