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Right Orchiopexy to Correct Undescended Testicle and Circumcision to Correct Phimosis

Lissa Henson, MD1; Domingo Alvear, MD2
1Capitol Medical Center, Philippine Society of Pediatric Surgeons
2World Surgical Foundation

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