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MEDICAL AND SURGICAL TREATMENT OF CRYPTORCHIDISM

ROBERT J. PRENTISS, M.D.; RALPH B. MULLENIX, M.D.; JAMES M. WHISENAND, M.D.; MICHAEL J. FEENEY, M.D.
AMA Arch Surg. 1955;70(2):283-290. doi:10.1001/archsurg.1955.01270080129022.
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INTRODUCTION AND LITERATURE  WE BECAME interested in the problem of the treatment of cryptorchidism for several reasons. The literature and local customs agree in diversity of opinion relative to medical and surgical treatment, indications for, and timing of, therapy. Usually, when such multiplicity and variation of management of a medical problem occur, none of the methods produce uniformly satisfactory results. Our experience and the evalution of the problem suggest that much of the confusion is unnecessary.Study of the literature suggests that the age for surgical intervention varies from less than 1 year to even after puberty (12 years, plus or minus). Some authors indicate 6 to 9 years as the optimum time for operation. The Bevan and the Torek procedure are the most popular of those advised. A few authors suggested the possible advantage of incision of the transversalis fascia, division of the deep epigastric vessels, and retroperitoneal dissection,

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