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The Empty Scrotum. Prof. Faisal Ghani Siddiqui MBBS; FCPS; PGDiploma Bioethics; MCPS-HPE PPROFESSOR OF SURGERY LIAQUAT UNIVERSITY OF MEDICAL & HEALTH SCIENCES. The Empty Scrotum . Maldescended Testis Retractile Testis Ascending Testis Absent Testis. Maldescended Testis.

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the empty scrotum

The Empty Scrotum

Prof. Faisal Ghani Siddiqui

MBBS; FCPS; PGDiploma Bioethics; MCPS-HPE

PPROFESSOR OF SURGERY

LIAQUAT UNIVERSITY OF MEDICAL & HEALTH SCIENCES

the empty scrotum1
The Empty Scrotum
  • Maldescended Testis
  • Retractile Testis
  • Ascending Testis
  • Absent Testis
maldescended testis
Maldescended Testis
  • Cannot be manipulated in the scrotum without undue tension on the cord
  • Undecscended testis
    • Intra-abdominal
    • Canalicular
    • Emergent
  • Ectopic testis
    • Pre-penile
    • Femoral
    • Perineal
    • Crossed ectopia
retractile ascending testis
Retractile/Ascending Testis
  • Cremastric reflex
  • Testis in scrotum when warm and relaxed
  • Retraction into the superficial inguinal pouch
  • Testis can be brought into the scrotum without tension on the cord
  • No surgical intervention required
empty scrotum diagnosis
Empty Scrotum -Diagnosis
  • Examination
  • Laparoscopy
madescended testis operate
Madescended Testis –Operate?
  • Azoospermia
  • Malignancy
  • Cosmetic/psychological effect
surgical procedures
Surgical Procedures
  • Orchidopexy with extra-dartos pouch
  • Single-stage microvascular transfer
  • Fowler-Stephens orchidopexy