ABSTRACT
To get a substantial documentation about the outcome of the high-lying testicles after harvesting their vascular pedicle, a testicular biopsy must be performed. To explore this problem, bilateral testicular artery ligation was done at two different levels [intraperitoneal high ligation on one side and inguinal ligation on the other side] in [12] male dogs. Testicular atrophy was recorded in 4 testes after inguinal ligation and in only one testis after high ligation. Encouraged by these gratifying results, we performed a transperitoneal exploration for 30 children with abdominal testicles [25 with unilateral and 5 with bilateral testicular undescent]. For highlying abdominal testicles [24 cases] orchiopexy was done by mobilising a peritoneal flap to preserve the testicular microanastomosis in the retroperitoneum after harvesting the testicular vessels. The short circuit-rerouting technique was utilised for low abdominal testicles [6 cases] with presentation of their vessels. Out of 24 cases in whom the testicular pedicle was harvested, testicular atrophy was reported- in 4 of them. Testicular atrophy was also reported after a second stage operation due to inadvertent injury of the intact testicular pedicle in one patient for whom a first stage orchiopexy of a highlying testis was done