Management of Recurrent Undescended Testis: An Observational Study

During the 10-year study period, 558 orchiopexies were performed. Of these, seven (1.25%) were redo orchiopexies. Five of these were operated on elsewhere -three by pediatric surgeons and two by general surgeons. The mean age of the patients was 7.6 years. All patients had a testis in the inguinal canal. In follow-up, testicular atrophy was noted in one patient. The testicular size appeared to be smaller compared to the opposite testis in five patients. Conclusion: Recurrent UDT, although uncommon, poses a significant surgical challenge. Identifying the etiological factors, if present, is imperative. Successful management depends on careful dissection, preservation of vascular integrity, and tension-free subdartos placement of the testis. The overall outcome appears to be good in the hands of experienced professionals.